Active NPI
Robert J Kreutzmann, MD
- Family Medicine Physician
- Ozark, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 21379
- Practice address
- 633 S Union Ave
Ozark, AL 36360-1836 - Phone
- (334) 774-7572
- Fax
- (334) 774-6237
- NPI assigned
- Mar 29, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 21379 | AL | Primary |
Addresses
Primary practice location
633 S Union Ave
Ozark, AL 36360-1836
Mailing address
633 S Union Ave
Ozark, AL 36360-1836
Phone (334) 774-7572
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 |
|---|---|---|---|---|
| I20041101001161 | AL | Practitioner - Family Practice | 3779545710 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Wisconsin School of Medicine, 1967
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
126 Hospital Ave
Ozark, AL 36360-2018
Phone (334) 774-2601
1519 Andrews Ave
Ozark, AL 36360-3719
Phone (334) 774-7610
359 James St
Ozark, AL 36360-2014
Phone (334) 443-1211
Hospital & facility affiliations
- Dale Medical Center Home Health
- Dale Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21379 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dale Medical Center | Family Medicine | Current | Accepting new patients |
| Dale Medical Center | Current | Accepting new patients | |
| Dale Medical Center | Family Medicine | Current | Accepting new patients |
| Dale Medical Center | Past | Accepting new patients |
Locations
218 Hospital Ave
Ste B
Ozark, AL 36360
Phone (334) 445-1025
633 S Union Ave
Ozark, AL 36360
Phone (334) 774-7572
1519 Andrews Ave
Ozark, AL 36360
Phone (334) 774-7610
145 Katherine Ave
Ozark, AL 36360
Phone (334) 774-5116
359 James St
Ozark, AL 36360
Phone (334) 774-6712
126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803
Organizations & group practices 4
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.
-
- Medicare Defined Swing Bed Hospital Unit
- Ozark, AL
- NPI 1215479357
-
- Surgery Physician
- Ozark, AL
- NPI 1366724684
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Ozark, AL
- NPI 1255435368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477612800000",
"number": "1174584171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 S UNION AVE",
"city": "OZARK",
"state": "AL",
"postal_code": "363601836",
"telephone_number": "334-774-7572",
"fax_number": "334-774-6237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 S UNION AVE",
"city": "OZARK",
"state": "AL",
"postal_code": "363601836",
"telephone_number": "334-774-7572",
"fax_number": "334-774-6237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREUTZMANN",
"first_name": "ROBERT",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-29",
"last_updated": "2016-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "21379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ozark, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.