VINCENT EDWARD MORTELLARO MD
NPI 1972671287
Surgery - Pediatric Surgery in Birmingham, AL

Q: What is Vincent Mortellaro's NPI number?

The NPI number for Vincent Mortellaro is 1972671287. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Q: What is Vincent Mortellaro's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Active since December 04, 2006PECOS EnrolledAccepts Medicare Assignment

1600 7TH AVE S, BIRMINGHAM, AL 35233(205) 939-9100 Get Directions Write a Review

NPPES record last updated: October 11, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Vincent Edward Mortellaro Md NPPES

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

VINCENT EDWARD MORTELLARO MD (NPI 1972671287) is an individual pediatric surgery provider in Birmingham, Alabama, licensed in Alabama (30918) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Miami, Lm Miller School Of Medicine (2005).

NPPES Registry Identity

NPI1972671287

Entity TypeIndividualMale

Primary Taxonomy2086S0120X

Provider Legal NameVINCENT EDWARD MORTELLAROCredential: MD

Location Address1600 7TH AVE SBirmingham, AL 35233-1711

Mailing AddressPo Box 55310Birmingham, AL 35255-5310 · (205) 731-9701

Phone(205) 939-9100

Sole ProprietorNo

Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2005

Enumeration DateDecember 4, 2006

Last NPPES UpdateOctober 11, 2011

✔ NPI 1972671287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0120X

License✔ Licensed in AL · 30918

Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Also ListedSurgeryTaxonomy 208600000X · License TRN8848 (FL)

1600 7TH AVE S, Birmingham, AL 35233

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Other Identifiers 10

Other051117802AL · Bcbs

Medicare PIN102I025564AL

Medicaid01356513MS

Other051117803AL · Bcbs

Medicaid129871AL

Other051117804AL · Bcbs

Medicaid129875AL

Medicaid129872AL

Other051117806AL · Bcbs

Medicaid129873AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Humana.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

Vincent Edward Mortellaro 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 ID1456529585

PECOS Enrollment IDI20110715000571

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.

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.

FREDERICK D GOLDMAN MD

Pediatrics (Pediatric Hematology-Oncology)