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HAIDEE T. CUSTODIO M.D.
NPI 1720247075
Pediatrics - Pediatric Infectious Diseases in Mobile, AL

Active since June 03, 2008PECOS Enrolled
1601 CENTER STREET, STE 1S, MOBILE, AL 36604(251) 410-5437(251) 434-3852 Get Directions Write a Review

NPPES record last updated: March 6, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Haidee T. Custodio M.d. NPPES

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

HAIDEE T. CUSTODIO M.D. (NPI 1720247075) is an individual pediatric infectious diseases provider in Mobile, Alabama, licensed in Alabama (30839) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720247075
Entity TypeIndividualFemale
Primary Taxonomy2080P0208X
Provider Legal NameHAIDEE T. CUSTODIOCredential: M.D.
Location Address1601 CENTER STREET, STE 1SMobile, AL 36604-3207
Mailing AddressPo Box 40480Mobile, AL 36640-0480 · (251) 410-5437 · Fax (251) 434-3852
Phone(251) 410-5437
Fax(251) 434-3852
Sole ProprietorNo
Enumeration DateJune 3, 2008
Last NPPES UpdateMarch 6, 2017
✔ NPI 1720247075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0208X
License✔ Licensed in AL · 30839
Definition
A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License TRN12314 (FL)
1601 CENTER STREET, Mobile, AL 36604
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Haidee T. Custodio M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Haidee Custodio reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Usa Health Physician Billing Services LLC
Same address
Obstetrics & Gynecology
1601 CENTER ST
Mobile, AL 36604
  • Reassigned Medicare billing, Alabama enrollment
  • 857 clinicians in this Medicare group
NPI 1013574722 (251) 415-1496
University Of South Alabama
1.6 mi
Clinical Medical Laboratory
2451 UNIVERSITY HOSPITAL DR
Mobile, AL 36617
  • Reassigned Medicare billing, Alabama enrollment
  • 394 clinicians in this Medicare group
NPI 1497859052 (251) 471-7000

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

Other Providers at the Same Location NPPES 18

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

DR. JUAN GONZALO OCHOA MD
Psychiatry & Neurology (Neurology)
1601 CENTER STREET, STE. 2S
MOBILE, AL 36604
Mobile County (251) 660-5108
DR. ANANTHASEKAR PONNAMBALAM M.D.
Pediatrics (Pediatric Gastroenterology)
1601 CENTER STREET, SUITE 1S
MOBILE, AL 36604
Mobile County (251) 410-5437
REGENA SIMPSON W.H.N.P
Nurse Practitioner (Women's Health)
1601 CENTER STREET, STE 3S
MOBILE, AL 36604
Mobile County (251) 415-1496
MRS. TAMI TATE GREEN CRNP, CDE
Nurse Practitioner (Family)
1601 CENTER STREET, STE 1S
MOBILE, AL 36604
Mobile County (251) 410-5437
KAREN D. CRISSINGER MD
Pediatrics (Pediatric Gastroenterology)
1601 CENTER STREET, SUITE 1S
MOBILE, AL 36604
Mobile County (251) 410-5437
DEAN K NARITOKU M.D.
Psychiatry & Neurology (Neurology)
1601 CENTER STREET, STE. 2S
MOBILE, AL 36604
Mobile County (251) 660-5108
LAURA ELIZABETH MINTO MD
Psychiatry & Neurology (Neurology)
1601 CENTER STREET, STE. 2S
MOBILE, AL 36604
Mobile County (251) 660-5108
ANNE-MARIE DORE KAULFERS M.D.
Pediatrics (Pediatric Endocrinology)
1601 CENTER STREET, STE 1S
MOBILE, AL 36604
Mobile County (251) 410-5437

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 Haidee Custodio's NPI number?

The NPI number for Haidee Custodio is 1720247075. It was assigned to this individual provider in the NPPES registry on June 3, 2008.

Where is Haidee Custodio located?

Haidee Custodio practices at 1601 Center Street Ste 1S, Mobile, AL 36604. The listed phone number is (251) 410-5437.

What is Haidee Custodio's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

Is Haidee Custodio enrolled in Medicare?

Yes. Haidee Custodio is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Haidee Custodio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Haidee Custodio reassigns Medicare benefits to 2 organizations: Usa Health Physician Billing Services LLC (Mobile, AL) and University Of South Alabama (Mobile, AL). Each 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 Haidee Custodio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Haidee Custodio accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Haidee Custodio 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 Haidee Custodio was last updated on March 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.