Ralph L Aquadro III, MD
Individual provider Active NPI Plastic Surgery Physician · Auburn, AL
NPI 1992835722 · NPPES record last updated Jan 26, 2018
Key facts
- NPI
- 1992835722
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Plastic Surgery Physician 208200000X
- License
- 31455 (AL)
- Practice address
- 1935 E. Glenn Ave.
Ste 102
Auburn, AL 36830 - Phone
- (334) 321-4989
- Fax
- (334) 501-2223
- NPI assigned
- Mar 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Plastic and Reconstructive Surgery
- Education
- University of South Alabama College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1935 E Glenn Ave
Suite 102
Auburn, AL 36830-5999
Phone (334) 321-4989
Hospital & facility affiliations
- The East Alabama Healthcare Authority
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120709000567 | AL | Practitioner - Plastic and Reconstructive Surgery | 5395900815 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31455 | AL | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Alabama Plastic Surgery, LLC | Single Specialty | Current |
Accepting new patients |
Locations
1935 E Glenn Ave
Ste 102
Auburn, AL 36830
Phone (334) 321-4989
778 N Dean Rd
Ste 400
Auburn, AL 36830
Phone (334) 321-4989
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JDIIBA/Endpoint/JDIIBA
- https://fhir4.healow.com/fhir/r4/JDIIBA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician |
208200000X | 31455 | AL | Yes |
Addresses
Primary practice location
1935 E. Glenn Ave.
Ste 102
Auburn, AL 36830
Mailing address
1935 E. Glenn Ave
Ste 102
Auburn, AL 36830
Phone (334) 321-4989
Other providers in Auburn, AL
- Lauren Andsager
- Carmen A Anglin
- Jessica Rian Williams Anglin
- Answered Prayer Home Care Services of Auburn LLC.
- Logan Drew Aplin
- Arbor Lake Health & Rehab, LLC
- Devin Archer
- Mateo Arenas
- Articularis Healthcare Group Inc.
- Ryley Jo Anne Asbell
All providers in Auburn, AL · Plastic Surgery Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.