Individual provider Active NPI

Louis Divalentin, M.D.

  • Internal Medicine Physician
  • Anniston, AL
National Provider Identifier
1982625869
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Practice address
1010 Christine Ave
Anniston, AL 36207-5710
Phone
(256) 236-5631
Fax
(256) 241-2241
NPI assigned
Jul 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X AL Primary

Addresses

Primary practice location

1010 Christine Ave
Anniston, AL 36207-5710

Mailing address

PO Box 2127
Anniston, AL 36202-2127
Phone (256) 236-5631

Other identifiers 1

IdentifierTypeStateIssuer
0410164OtherALUNITED HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100817001563 AL Practitioner - Internal Medicine 8820170186 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Virginia Commonwealth University, School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Self-Recovery, LLCGroup PAC ID 5597707083, 2 clinicians
The Health Care Authority of the City of AnnistonGroup PAC ID 3971408923, 41 clinicians
Alabama Hospital Medicine Physicians LLCGroup PAC ID 1557864774, 15 clinicians

Practice addresses (Care Compare)

Lanett, AL 36863
Phone (866) 255-3350

400 E 10TH St
Anniston, AL 36202-4716
Phone (256) 235-5860

400 E 10TH St
Anniston, AL 36207-4716
Phone (256) 235-5121

Hospital & facility affiliations

  • Compassus-Gadsden Hospice, Southside, AL, CCN 011579
  • Northeast Alabama Regional Medical Center Hospital, Anniston, AL, CCN 010078
  • University of Alabama Hospital Hospital, Birmingham, AL, CCN 010033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
000020638ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Self-Recovery, LLC CurrentSince Jan 14, 2025 Accepting new patients
The Health Care Authority of the City of Anniston Current Accepting new patients
Alabama Hospital Medicine Physicians LLC CurrentSince Oct 27, 2025 Accepting new patients
The Health Care Authority of the City of Anniston Internal Medicine CurrentSince Feb 20, 2017 Accepting new patients
The Health Care Authority of the City of Anniston CurrentSince Feb 20, 2017 Accepting new patients
Anniston Pathology Current Accepting new patients
Cleburne Medical Clinic, Inc. CurrentSince Mar 26, 2021 Accepting new patients
Dr. Louis Divalentin, LLC CurrentSince Aug 28, 2023 Accepting new patients

Locations

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

40 Giles St
Heflin, AL 36264
Phone (256) 237-2351

Interoperability endpoints

  • Direct secure messaging: louisdivalentin@annmc.allscriptsdirect.net
  • FHIR API: https://api.platform.athenahealth.com/15682/brand/1/csg/1/fhir/r4

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1982625869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2127",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362022127",
            "telephone_number": "256-236-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CHRISTINE AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075710",
            "telephone_number": "256-236-5631",
            "fax_number": "256-241-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVALENTIN",
        "first_name": "LOUIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0410164",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.