RUSS MICHAEL JR. GUIDRY – Diagnostic Radiology Physician, NPI 1811450158

RUSS MICHAEL JR. GUIDRY is a healthcare provider. based in Birmingham, Alabama. specializing in DIAGNOSTIC RADIOLOGY. They hold a License No. 41916 (AL). The NPI Number for RUSS MICHAEL JR. GUIDRY is 1811450158

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
RUSS MICHAEL JR. GUIDRY
NPI
1811450158
Phone
(205) 783-3098
Address
833 Princeton Ave SW
Enumeration Date
12 April 2019
Last Update Date
14 May 2025

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Secondary Phone
2567185900
Graduation Year
2019 (7 years ago)
PAC ID
1951830116
Group Practice PAC ID
7517851835
Professional Enrollment ID
I20250203000487
Address ID
AL356301067FL2407XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

579 DIAGNOSTIC RADIOLOGY in AL

Provider Addresses for RUSS MICHAEL JR. GUIDRY

  • 833 Princeton Ave SW

    Birmingham, AL 352111323

    Phone: (205) 783-3098

    Type: Location

  • 619 19TH STREET SOUT

    BIRMINGHAM, AL 352490001

    Phone: (205) 934-7120

    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: 2025-02-03

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
I20250203000487IDiagnostic RadiologyALTBD

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 35211)

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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: 7517851835View full group profile
NameSpecialtyState
Diagnostic RadiologyAL
-AL
Diagnostic RadiologyAL
Diagnostic RadiologyAL
Diagnostic RadiologyKY
Diagnostic RadiologyAL
-TX

Reviews

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Frequently asked questions

What NPI should I save for RUSS MICHAEL JR. GUIDRY?
Save NPI 1811450158 if you need a stable reference for RUSS MICHAEL JR. GUIDRY.
Is RUSS MICHAEL JR. GUIDRY's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize RUSS MICHAEL JR. GUIDRY's specialty in plain language?
Clinically, the directory lists RUSS MICHAEL JR. GUIDRY with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Does RUSS MICHAEL JR. GUIDRY practice in Alabama?
You will see Birmingham, Alabama on file for RUSS MICHAEL JR. GUIDRY alongside any extra practice locations.
Is RUSS MICHAEL JR. GUIDRY a real provider?
This page reflects official NPPES data for NPI 1811450158. Always confirm identity and privileges with the practice and licensing boards.

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