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TIMOTHY H REAL MD LLC
NPI 1043596117
Clinic/Center - Primary Care in Birmingham, AL

Active since November 02, 2011CLIA 01D2034074 · Waiver
4704 CAHABA RIVER RD, SUITE 1A, BIRMINGHAM, AL 35243(205) 313-6894(205) 313-6897 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Timothy H Real Md Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY H REAL MD LLC (NPI 1043596117) is a healthcare organization registered as a primary care in Birmingham, Alabama and active in the NPI registry since November 2011. The organization holds a CLIA Waiver certificate valid through December 14, 2027 and lists Timothy H Real, President, as its authorized official.

NPPES Registry Identity

NPI1043596117
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTIMOTHY H REAL MD LLC
Location Address4704 CAHABA RIVER RD, SUITE 1ABirmingham, AL 35243-2344
Mailing Address4704 Cahaba River Rd, Suite 1aBirmingham, AL 35243-2344 · (205) 313-6894 · Fax (205) 313-6897
Phone(205) 313-6894
Fax(205) 313-6897
Organization SubpartNo
Authorized OfficialTimothy H RealPresident · (205) 313-6894
Enumeration DateNovember 2, 2011
Last NPPES UpdateFebruary 4, 2025
NPPES CertifiedFebruary 4, 2025
✔ NPI 1043596117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
4704 CAHABA RIVER RD, Birmingham, AL 35243
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy H Real Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Timothy H Real MD LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Timothy Real, MD
Internal Medicine
NPI 1558470500
4704 CAHABA RIVER RD SUITE 1A
Birmingham, AL 35243
(205) 313-6894
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D2034074

Timothy H Real MD LLC · Birmingham, AL
Active · expires Dec 14, 2027
CLIA Number01D2034074
Laboratory TypePhysician Office
Certificate Effective DateDecember 15, 2025
Certificate Expiration DateDecember 14, 2027
Laboratory DirectorTimothy H. Real
Laboratory Phone(205) 313-6894
Laboratory LocationTimothy H Real MD LLC4704 Cahaba River Road Suite 1A, Birmingham, AL 35243
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy H Real MD LLC's NPI number?

The NPI number for Timothy H Real MD LLC is 1043596117. It was assigned to this organization in the NPPES registry on November 2, 2011.

Where is Timothy H Real MD LLC located?

Timothy H Real MD LLC is located at 4704 Cahaba River Rd Suite 1A, Birmingham, AL 35243. The listed phone number is (205) 313-6894.

What is Timothy H Real MD LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Timothy H Real MD LLC enrolled in Medicare?

Yes. Timothy H Real MD LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Timothy H Real MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Timothy H Real MD LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Timothy H Real MD LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2034074) is associated with this NPI, valid through December 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Timothy H Real MD LLC was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.