DARK SIDE MEDICAL, LLC
NPI 1609153030
Clinic/Center - Multi-Specialty in Birmingham, AL
About Dark Side Medical, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DARK SIDE MEDICAL, LLC (NPI 1609153030) is a healthcare organization registered as a multi-specialty in Birmingham, Alabama and active in the NPI registry since November 2011. The organization lists Victor Estrada Mendoza, Owner And Treating Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dark Side Medical, 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 Dark Side Medical, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Dark Side Medical, LLC's NPI number?
The NPI number for Dark Side Medical, LLC is 1609153030. It was assigned to this organization in the NPPES registry on November 14, 2011.
Where is Dark Side Medical, LLC located?
Dark Side Medical, LLC is located at 5130 Cyrus Cir, Birmingham, AL 35242. The listed phone number is (205) 981-0414.
What is Dark Side Medical, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Dark Side Medical, LLC enrolled in Medicare?
Yes. Dark Side Medical, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dark Side Medical, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Interventional Pain Management) reassigns their Medicare billing to Dark Side Medical, 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.
When was this NPI record last updated?
The NPPES record for Dark Side Medical, LLC was last updated on November 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dark Side Medical, Llc · NPI 1609153030
Multi-Specialty organization in Birmingham, Alabama. Organization record, active in the CMS NPPES registry since November 14, 2011.
## Identity
- **NPI:** 1609153030 (Entity type: Organization)
- **Enumerated:** November 14, 2011
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Victor Mendoza, OWNER AND TREATING PHYSICIAN
## Practice location
- **Address:** 5130 CYRUS CIR, Birmingham, AL 35242-4630
- **Phone:** (205) 981-0414 · **Fax:** (888) 330-6501
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Interventional Pain Management) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 14, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1609153030) · Data from the CMS NPPES public registry.