Individual provider Active NPI

Radu Constantine, M.D.

  • Surgery Physician
  • Ozark, AL
National Provider Identifier
1154368405
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD.32802 Issued in AL
Practice address
2126 W Roy Parker Rd Ste 203
Ozark, AL 36360-8566
Phone
(845) 481-8258
Fax
(334) 443-0179
NPI assigned
Jun 2, 2006
Last updated
Sep 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD.32802 AL Primary
Surgery Physician 208600000X 25MA07804800 NJ
Surgery Physician 208600000X 4301085335 MI
Surgery Physician 208600000X 260389 NY

Addresses

Primary practice location

2126 W Roy Parker Rd Ste 203
Ozark, AL 36360-8566

Mailing address

PO Box 864
126 Hospital Avenue
Ozark, AL 36361-0864
Phone (334) 774-2224

Other names 1

  • Radu Constantinescu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131017001712 AL Practitioner - General Surgery 0143223651 Reassigns benefits to 1 organization
I20240910003254 KY Practitioner - General Surgery 0143223651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Hospital CorporationGroup PAC ID 0345134318, 12 clinicians

Practice addresses (Care Compare)

424 Jett Dr
Jackson, KY 41339-9621
Phone (606) 666-6600

49 Ky 15
Campton, KY 41301-8834
Phone (606) 668-9481

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301085335MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dale Medical Center CurrentSince Sep 15, 2013 Accepting new patients
Jackson Hospital Corporation CurrentSince Aug 1, 2024 Accepting new patients
Dale Medical Center Surgery CurrentSince Sep 15, 2013 Accepting new patients
Dale Medical Center Current Accepting new patients
Jackson Hospital Corporation CurrentSince Aug 1, 2024 Accepting new patients
Jackson Hospital Corporation Past Accepting new patients
Cathedral Physician Services, P.C. Past Accepting new patients
Jackson Hospital Corporation PastSince Aug 23, 2020 Accepting new patients

Locations

126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803

2126 W Roy Parker Rd
Ste 203
Ozark, AL 36360
Phone (334) 445-1997

218 Hospital Ave
Ste B
Ozark, AL 36360
Phone (334) 445-1025

424 Jett Dr
Jackson, KY 41339
Phone (606) 666-2960

Interoperability endpoints

  • Direct secure messaging: radu.constantine.1@1885.direct.athenahealth.com
  • Direct secure messaging: rconstan@yourcarecommunity.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1154368405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 864",
            "address_2": "126 HOSPITAL AVENUE",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363610864",
            "telephone_number": "334-774-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 W ROY PARKER RD STE 203",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363608566",
            "telephone_number": "845-481-8258",
            "fax_number": "334-443-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSTANTINE",
        "first_name": "RADU",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "MD.32802",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA07804800",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301085335",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "260389",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RADU",
            "last_name": "CONSTANTINESCU",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ozark, AL

Sources for this page

Verify at the official NPI Registry.