EASTERN MEDICAL SPECIALISTS, P.C. – Internal Medicine Physician, NPI 1053302497

EASTERN MEDICAL SPECIALISTS, P.C. is a healthcare provider. based in Birmingham, Alabama. specializing in Internal Medicine Physician. The NPI Number for EASTERN MEDICAL SPECIALISTS, P.C. is 1053302497

Main info

Organization
Name
EASTERN MEDICAL SPECIALISTS, P.C.
NPI
1053302497
Phone
(205) 838-3800
Address
48 MEDICAL PARK DR E
Authorized Official
MS. MICHELLE P RONK PRACTICE MANAGER
Enumeration Date
3 November 2005
Last Update Date
1 May 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for EASTERN MEDICAL SPECIALISTS, P.C.

  • Professional Build 48, 48, Medical Park Drive East, Barnisdale Forest, Birmingham, Jefferson County, Alabama, 35214, United States

    SUITE 457

    BIRMINGHAM, AL 352353400

    Phone: (205) 838-3800

    Fax: (205) 838-3206

    Mailing address matches the actual address.

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: 2004-03-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-09-30 (618 days ago).

Enrollment records

1

Earliest due date

2024-09-30

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
O20040325000404OClinic/Group PracticeAL2024-09-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 35235)

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Reviews

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Frequently asked questions

Can I cross-check EASTERN MEDICAL SPECIALISTS, P.C. using NPI 1053302497?
NPI 1053302497 belongs to EASTERN MEDICAL SPECIALISTS, P.C.; compare other details if you need extra assurance.
Is EASTERN MEDICAL SPECIALISTS, P.C. shown as active in public data?
Registry records indicate EASTERN MEDICAL SPECIALISTS, P.C. maintains an active NPI.
What kind of doctor is EASTERN MEDICAL SPECIALISTS, P.C.?
EASTERN MEDICAL SPECIALISTS, P.C. is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with EASTERN MEDICAL SPECIALISTS, P.C.?
Directory geography for EASTERN MEDICAL SPECIALISTS, P.C. centers on Birmingham, Alabama.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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