Individual provider Active NPI

Robert J Kreutzmann, MD

  • Family Medicine Physician
  • Ozark, AL
National Provider Identifier
1174584171
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
21379 Issued in AL
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

Updated by the provider on Oct 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041101001161 AL Practitioner - Family PracticePractitioner - Preventive Medicine 3779545710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Preventive Medicine
Education
University of Wisconsin School of Medicine, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dale Medical CenterGroup PAC ID 3476466327, 29 clinicians

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 Home health agency, Ozark, AL, CCN 017124
  • Dale Medical Center Hospital, Ozark, AL, CCN 010021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21379ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dale Medical Center Family Medicine CurrentSince Sep 29, 2010 Accepting new patients
Dale Medical Center CurrentSince Sep 29, 2010 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.