Active NPI
Darryl Dwayne Prime, MD
- Interventional Cardiology Physician
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 25739
- Practice address
- 619 19TH St S
Birmingham, AL 35249-2008 - Phone
- (205) 934-4011
- Fax
- (205) 297-9411
- NPI assigned
- Apr 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2006-00624 | NC | |
| Internal Medicine Physician | 207R00000X | 00025739 | AL | |
| Cardiovascular Disease Physician | 207RC0000X | 25739 | AL | |
| Interventional Cardiology Physician | 207RI0011X | 25739 | AL | Primary |
Addresses
Primary practice location
619 19TH St S
Birmingham, AL 35249-2008
Mailing address
PO Box 55310
Birmingham, AL 35255-5310
Phone (205) 731-9701
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14408 | Other | NC | BLUECROSSBLUESHIELD |
| 009997315 | Medicaid | AL | |
| 5905885 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | alcv@195.direct.myezyaccess.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Alabama School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
619 19TH St S
Birmingham, AL 35246-0001
Phone (205) 934-3460
Hospital & facility affiliations
- University of Alabama Hospital
- Medical West, an Affiliate of Uab Health System
- Gadsden Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.67 of 100
- Quality
- 80.18
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 32 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00025739 | AL | MD | Internal Medicine Physician |
| 2006-00624 | NC | MD | Internal Medicine Physician |
| 25739 | AL | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients | |
| WRMC Hospital Operating Corporation | Past | Accepting new patients | |
| Hospitalist Medicine Physicians of North Carolina, PLLC | Internal Medicine | Past | Accepting new patients |
| Primedoc Park Ridge PA | Internal Medicine | Past | Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
1813 6th Ave S
Birmingham, AL 35233
Phone (205) 934-1180
619 19th St S
Birmingham, AL 35249
301 Governors Dr SW
Huntsville, AL 35801
Phone (256) 536-5511
Interoperability endpoints
- ddprime@direct.uabmedicine.org
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
-
- Internal Medicine Physician
- Lexington, NC
- NPI 1992745319
-
- Internal Medicine Physician
- Hendersonville, NC
- NPI 1023198728
-
- Hospitalist Physician
- North Wilkesboro, NC
- NPI 1093737082
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gadsden, AL
- NPI 1225081516
-
- General Acute Care Hospital
- Bessemer, AL
- NPI 1790896710
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1154435824
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1447145818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649030400000",
"number": "1982668828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 55310",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352555310",
"telephone_number": "205-731-9701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 19TH ST S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352492008",
"telephone_number": "205-934-4011",
"fax_number": "205-297-9411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIME",
"first_name": "DARRYL",
"middle_name": "DWAYNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2022-04-04",
"certification_date": "2022-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2006-00624",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "00025739",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AL",
"license": "25739",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "AL",
"license": "25739",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHIELD",
"identifier": "14408",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009997315",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5905885",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "alcv@195.direct.myezyaccess.com",
"affiliation": "N",
"endpointDescription": "AMR direct email",
"address_1": "1102 Goodyear Ave",
"city": "Gadsden",
"state": "AL",
"country_code": "US",
"postal_code": "359032008",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.