Active NPI
Zachary David Reardon, MD
- Urology Physician
- Mobile, AL
National Provider Identifier
1073804209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 35016
- Practice address
- 168 Mobile Infirmary Blvd
Mobile, AL 36607-3510 - Phone
- (251) 433-1895
- NPI assigned
- Apr 21, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 35016 | AL | Primary |
Addresses
Primary practice location
168 Mobile Infirmary Blvd
Mobile, AL 36607-3510
Mailing address
4752 Old Shell Rd
Mobile, AL 36608-2333
Phone (239) 851-2271
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 185075 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160418000033 | AL | Practitioner - Urology | 9032417506 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- University of Alabama School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Urology Associates of Mobile, P.a.
Practice addresses (Care Compare)
100 Memorial Hospital Dr
Suite 1a
Mobile, AL 36608-1128
Phone (251) 433-1895
Hospital & facility affiliations
- Mobile Infirmary Medical Center
- Springhill Medical Center
- USA Health HCA Providence Hospital, LLC
- Singing River Health System
- Grove Hill Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.88 of 100
- Quality
- 77.29
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.99
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35016 | AL | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology Associates of Mobile, P.a. | Urology | Current | Accepting new patients |
Locations
134 Hoyle Ave
Fairhope, AL 36532
297 S Jackson St
#B
Grove Hill, AL 36451
Phone (251) 275-2810
168 Mobile Infirmary Blvd
Mobile, AL 36607
Phone (251) 633-3617
100 Memorial Hospital Dr
Ste 1A
Mobile, AL 36608
Phone (251) 343-6848
6701 Airport Blvd
Ste B135
Mobile, AL 36608
Phone (251) 633-0573
Interoperability endpoints
- zacharyreardon@uam.allscriptsdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mobile, AL
- NPI 1992489223
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487721600000",
"number": "1073804209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4752 OLD SHELL RD",
"city": "MOBILE",
"state": "AL",
"postal_code": "366082333",
"telephone_number": "239-851-2271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "168 MOBILE INFIRMARY BLVD",
"city": "MOBILE",
"state": "AL",
"postal_code": "366073510",
"telephone_number": "251-433-1895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REARDON",
"first_name": "ZACHARY",
"middle_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-21",
"last_updated": "2017-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "AL",
"license": "35016",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "185075",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.