SAMUEL III CHERRY (M.D.) – Anesthesiology Physician, NPI 1063634905

SAMUEL III CHERRY (M.D.) is a healthcare provider. based in Birmingham, Alabama. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 26143 (AL). The NPI Number for SAMUEL III CHERRY (M.D.) is 1063634905

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL III CHERRY (M.D.)
NPI
1063634905
Phone
(205) 934-4794
Address
149 LUCERNE BLVD
Enumeration Date
2 May 2007
Last Update Date
27 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
2059344011
Graduation Year
2003 (23 years ago)
PAC ID
7719059666
Group Practice PAC ID
1951213107
Professional Enrollment ID
I20080709000412
Address ID
AL352491900BI619XXSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

633 ANESTHESIOLOGY in AL

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Provider Addresses for SAMUEL III CHERRY (M.D.)

  • 149 LUCERNE BLVD

    BIRMINGHAM, AL 352096657

    Phone: (205) 934-4794

    Type: Mailing

  • 19th Street South, Phelan Park Historic District, Five Points South, Birmingham, Jefferson County, Alabama, 35233, United States

    BIRMINGHAM, AL 352491900

    Phone: (205) 934-4794

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-07-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080709000412IAnesthesiologyALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35209)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951213107View full group profile
NameSpecialtyState
N E P H R O L O G YTX
-AL
A N E S T H E S I O L O G YAL
E N D O C R I N O L O G YVA
Nurse PractitionerAL
-AL
Hospitalist, Internal MedicineAL
Clinical PsychologistAL
Nurse PractitionerAL
-AL

Reviews

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Frequently asked questions

Can I verify SAMUEL III CHERRY (M.D.) with an NPI only?
You can start verification with NPI 1063634905 for SAMUEL III CHERRY (M.D.), then check state licensing separately.
Is SAMUEL III CHERRY (M.D.) listed as active for patients and plans?
The listing shows SAMUEL III CHERRY (M.D.) as active in the NPI system.
What taxonomy line describes SAMUEL III CHERRY (M.D.)?
For research purposes, treat SAMUEL III CHERRY (M.D.) as Anesthesiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does SAMUEL III CHERRY (M.D.) serve?
SAMUEL III CHERRY (M.D.)'s listing highlights Birmingham, Alabama; more addresses can appear in NPPES.
Is the information about SAMUEL III CHERRY (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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