Organization Active NPI

Matthew K Abele, MD PC

  • Dermatology Physician
  • Birmingham, AL
National Provider Identifier
1982746525
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
17874 Issued in AL
Legal business name
MATTHEW K ABELE, MD PC
Practice address
2700 10TH Ave S
Suite 501
Birmingham, AL 35205-1200
Phone
(205) 939-6890
Fax
(205) 939-6895
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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

Authorized official

Name
Dr. Matthew Karl Abele, M.D.NPI 1255387585
Title
President
Phone
(205) 939-6890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 17874 AL Primary

Addresses

Primary practice location

2700 10TH Ave S
Suite 501
Birmingham, AL 35205-1200

Mailing address

2700 10TH Ave S
Suite 501
Birmingham, AL 35205-1200
Phone (205) 939-6890

Other identifiers 4

IdentifierTypeStateIssuer
51516475ABEOtherALBCBS AL#1528CARRAWAYBHAM
51516471ABEOtherALBCBS AL#-JASPER
51516548ABEOtherALBCBS OF AL #-WINFIELD
51516547ABEOtherALBCBS AL# 10TH AVES-BHAM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101102000817 AL Part B Supplier - Clinic/Group Practice 3779777800 Receives reassigned benefits from 1 practitioner
Practice locations: Birmingham, AL; Hoover, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0888863Matthew K Abele MD PC2700 10TH Avenue South Suite 501 BDG 2, Birmingham, AL 35205ComplianceOct 17, 2026

National Provider Directory

National Provider Directory

Locations

2700 10th Ave S
Ste 501
Birmingham, AL 35205
Phone (205) 939-6890

5346 Stadium Trace Pkwy
Ste 101
Hoover, AL 35244
Phone (205) 939-6890

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1982746525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 10TH AVE S",
            "address_2": "SUITE 501",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051200",
            "telephone_number": "205-939-6890",
            "fax_number": "205-939-6895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 10TH AVE S",
            "address_2": "SUITE 501",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051200",
            "telephone_number": "205-939-6890",
            "fax_number": "205-939-6895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW K ABELE, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "ABELE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "KARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-939-6890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "AL",
            "license": "17874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL#1528CARRAWAYBHAM",
            "identifier": "51516475ABE",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL#-JASPER",
            "identifier": "51516471ABE",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL #-WINFIELD",
            "identifier": "51516548ABE",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL# 10TH AVES-BHAM",
            "identifier": "51516547ABE",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "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 Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.