KATAYOUN FOMANI MD
NPI 1578995320
Internal Medicine in Birmingham, AL

Active since August 04, 2013PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
619 19TH ST S, BIRMINGHAM, AL 35249(205) 934-4011 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 12, 2023, Jul 2, 2018 (2 updates tracked since 2018).

About Katayoun Fomani Md NPPES

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

KATAYOUN FOMANI MD (NPI 1578995320) is an individual internal medicine provider in Birmingham, Alabama, licensed in Alabama (46110) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1578995320
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKATAYOUN FOMANICredential: MD
Location Address619 19TH ST SBirmingham, AL 35249-1900
Mailing AddressPo Box 55310Birmingham, AL 35255-5310 · (205) 731-9701
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateAugust 4, 2013
Last NPPES UpdateApril 12, 20232 updates tracked since enumeration
NPPES CertifiedApril 12, 2023
NPI 1578995320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in AL · 46110 Licensed in NY · 271018
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
619 19TH ST S, Birmingham, AL 35249

Accepted 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

Katayoun Fomani Md 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 ID3274760244
PECOS Enrollment IDI20230412002210
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 5

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.

Blood bank physician services for cross match and/or evaluation and written report 86077
Blood bank physician services for cross match involve testing your blood against donor blood to ensure compatibility before a transfusion. The evaluation includes a detailed analysis of your blood type and antibodies. A written report will be provided, summarizing the findings.
86 services59 patients
Coagulation function screening test with interpretation and report 85390
A coagulation function screening test is a type of blood test that checks how well your blood clots. It's important because clotting helps prevent excessive bleeding. The test results are interpreted and a report is provided to help guide your doctor's treatment plan.
43 services35 patients
Mechanical separation of plasma from blood 36514
Mechanical separation of plasma from blood is a procedure where your blood is drawn and placed in a machine. This machine spins the blood at high speeds, separating the plasma (a yellowish fluid) from the rest of the blood components. The plasma is then collected for medical purposes.
28 services17 patients
Pathology clinical consultation for clinical problem, 5-20 minutes 80503
A pathology clinical consultation is a brief meeting with a medical expert to discuss health concerns. The consultation, lasting between 5-20 minutes, involves reviewing your medical history and possibly conducting tests to diagnose or understand your health condition better.
23 services19 patients
Mechanical separation of red blood cells from blood 36512
Mechanical separation of red blood cells from blood is a process where a machine separates red blood cells from the rest of your blood. This allows for detailed study of these cells, aiding in diagnosis and treatment of various blood-related conditions.
22 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35249 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Radiology (Diagnostic Radiology)
619 19TH ST S, JT N342
BIRMINGHAM, AL 35249
Internal Medicine (Nephrology)
619 19TH ST S
BIRMINGHAM, AL 35249
Anesthesiology
619 19TH ST S
BIRMINGHAM, AL 35249
Surgery (Surgical Critical Care)
619 19TH ST S
BIRMINGHAM, AL 35249
Nurse Practitioner (Acute Care)
619 19TH ST S
BIRMINGHAM, AL 35249
Pharmacist
619 19TH ST S
BIRMINGHAM, AL 35249
Pathology (Anatomic Pathology & Clinical Pathology)
619 19TH ST S
BIRMINGHAM, AL 35249
Emergency Medicine
619 19TH ST S
BIRMINGHAM, AL 35249

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 Katayoun Fomani's NPI number?

The NPI number for Katayoun Fomani is 1578995320. It was assigned to this individual provider in the NPPES registry on August 4, 2013.

Where is Katayoun Fomani located?

Katayoun Fomani practices at 619 19th St S, Birmingham, AL 35249. The listed phone number is (205) 934-4011.

What is Katayoun Fomani's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Katayoun Fomani enrolled in Medicare?

Yes. Katayoun Fomani 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 Katayoun Fomani accept?

Health plans from Blue Cross and Blue Shield of Alabama list Katayoun Fomani 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 Katayoun Fomani was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.