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WILLIAM H HALAMA III M.D.
NPI 1477591071
Internal Medicine - Gastroenterology in Birmingham, AL

Active since June 04, 2006PECOS EnrolledAccepts Medicare Assignment
513 BROOKWOOD BLVD, SUITE 401, BIRMINGHAM, AL 35209(205) 870-0256(205) 870-7107 Get Directions Write a Review

NPPES record last updated: August 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About William H Halama Iii M.d. NPPES

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

WILLIAM H HALAMA III M.D. (NPI 1477591071) is an individual gastroenterology provider in Birmingham, Alabama, licensed in Alabama (12940) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1477591071
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameWILLIAM H HALAMA IIICredential: M.D.
Location Address513 BROOKWOOD BLVD, SUITE 401Birmingham, AL 35209-6862
Mailing Address513 Brookwood Blvd, Suite 401Birmingham, AL 35209-6862 · (205) 870-0256 · Fax (205) 870-7107
Phone(205) 870-0256
Fax(205) 870-7107
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateJune 4, 2006
Last NPPES UpdateAugust 7, 2008
✔ NPI 1477591071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in AL · 12940
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
513 BROOKWOOD BLVD, Birmingham, AL 35209
Open in Google Maps ↗

Other Identifiers 4

Medicare PIN100013281
Medicare UPINE84011
Medicaid000028523AL
Medicare ID-Type Unspecified000028523

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

William H Halama Iii M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648258053
PECOS Enrollment IDI20111117000549
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
61 services42 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
61 services19 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
53 services21 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
50 services31 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
42 services35 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
38 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RICHARD IRA KIRKLAND MD
Surgery
513 BROOKWOOD BLVD, SUITE 501
BIRMINGHAM, AL 35209
Jefferson County (205) 930-8010
DANIELLE BLACKARD CRNP
Nurse Practitioner (Family)
513 BROOKWOOD BLVD, SUITE 401
BIRMINGHAM, AL 35209
Jefferson County (205) 397-1080
WALTER GEORGE HAYNES III M.D.
Neurological Surgery
513 BROOKWOOD BLVD, STE. 75
BIRMINGHAM, AL 35209
Jefferson County (205) 250-6805
DR. UNAL TUTAK M.D.
Anesthesiology (Pain Medicine)
513 BROOKWOOD BLVD, SUITE 101
BIRMINGHAM, AL 35209
Jefferson County (205) 802-6565
DR. CHARLES C BOACKLE MD
Internal Medicine
513 BROOKWOOD BLVD, SUITE 50
BIRMINGHAM, AL 35209
Jefferson County (205) 877-2761
JITENDRA SHARMA M.B.B.S
Psychiatry & Neurology (Vascular Neurology)
513 BROOKWOOD BLVD, STE 260
BIRMINGHAM, AL 35209
Jefferson County (205) 802-6595
MARTIN PAUL JONES JR. M.D.
Orthopaedic Surgery (Sports Medicine)
513 BROOKWOOD BLVD, SUITE 372
BIRMINGHAM, AL 35209
Jefferson County (205) 949-1806
BROOKWOOD SPECIALTY CARE ENDOCRINOLOGY, LLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
513 BROOKWOOD BLVD, STE 400
BIRMINGHAM, AL 35209
Jefferson County (205) 802-6722

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 William Halama's NPI number?

The NPI number for William Halama is 1477591071. It was assigned to this individual provider in the NPPES registry on June 4, 2006.

Where is William Halama located?

William Halama practices at 513 Brookwood Blvd Suite 401, Birmingham, AL 35209. The listed phone number is (205) 870-0256.

What is William Halama's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is William Halama enrolled in Medicare?

Yes. William Halama is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does William Halama accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list William Halama as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for William Halama was last updated on August 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.