VINCENT EDWARD MORTELLARO MD NPI 1972671287

NPI Information

NPI: 1972671287
Provider Name: VINCENT EDWARD MORTELLARO, MD
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

Organization: UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION,PC

PECOS Registration: Yes

Address:
1600 7TH AVE S
BIRMINGHAM, AL
ZIP 35233
Phone: (205) 939-9100
Get Directions

Vincent Edward Mortellaro, MD is a pediatric surgery surgery in Birmingham, AL with 19 years of experience. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Vincent Edward Mortellaro, MD NPI is 1972671287. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduation Year:2005

The provider's business location address is:

1600 7TH AVE S
BIRMINGHAM, AL
ZIP 35233-711
Phone: (205) 939-9100

The NPI 1972671287 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 10/11/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		TRN8848	FLORIDA	No
2	2086S0120X	Surgery	Pediatric Surgery	30918	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	051117802	OTHER	ALABAMA	BCBS
2	102I025564	MEDICARE PIN	ALABAMA
3	01356513	MEDICAID	MISSISSIPPI
4	051117803	OTHER	ALABAMA	BCBS
5	129871	MEDICAID	ALABAMA
6	051117804	OTHER	ALABAMA	BCBS
7	129875	MEDICAID	ALABAMA
8	129872	MEDICAID	ALABAMA
9	051117806	OTHER	ALABAMA	BCBS
10	129873	MEDICAID	ALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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