Keith Alan Dismukes, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

00007346 Issued in AL

Practice address

202 Hwy 80 East
Demopolis, AL 36732

Phone

(334) 289-0499

Fax

(334) 289-3013

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

No

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.

• Dr Keith Dismukes L.L.C.

  • Primary Care Clinic/Center
  • Demopolis, AL
  • NPI 1801161138

  AL

  Medicare reassignment NPD
• DRS. Ketcham and Dismukes

  • Family Medicine Physician
  • Demopolis, AL
  • NPI 1720102387

  Family Medicine

  NPD

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

• Amedisys Alabama, LLC

  • Home Health Agency
  • Selma, AL
  • NPI 1033177332
  Care Compare affiliation
• Comfort Care Home Health of West Alabama, LLC

  • Home Health Agency
  • Livingston, AL
  • NPI 1225513278
  Care Compare affiliation
• New Beacon Healthcare Group, LLC

  • Community Based Hospice Care Agency
  • Northport, AL
  • NPI 1376572255

  Hospice

  Care Compare affiliation
• Tombigbee Healthcare Authority

  • General Acute Care Hospital
  • Demopolis, AL
  • NPI 1588690085

  Hospital

  Care Compare affiliation
• Tombigbee Healthcare Authority

  • Home Health Agency
  • Demopolis, AL
  • NPI 1912060260
  Care Compare affiliation

Specialty

Family Practice

Education

University of Alabama School of Medicine, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health of Selma Home health agency, Selma, AL, CCN 017320
• Bryan W. Whitfield Memorial Hospital Home Health Home health agency, Demopolis, AL, CCN 017103
• Aveanna Home Health Home health agency, Livingston, AL, CCN 017879
• Southerncare New Beacon - Jasper Hospice, Northport, AL, CCN 011506
• Whitfield Regional Hospital Hospital, Demopolis, AL, CCN 010112

Merit-based Incentive Payment System (MIPS)

Final score

22.89 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

76.29

Procedures performed for Medicare patients

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 14, 2012.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1295749059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650",
            "city": "DEMOPOLIS",
            "state": "AL",
            "postal_code": "36732",
            "telephone_number": "334-289-0499",
            "fax_number": "334-289-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 HWY 80 EAST",
            "city": "DEMOPOLIS",
            "state": "AL",
            "postal_code": "36732",
            "telephone_number": "334-289-0499",
            "fax_number": "334-289-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISMUKES",
        "first_name": "KEITH",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00007346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000088681",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0110247",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia J Holifield
• Virginia Davis, RN, RD, LD
• Demopolis City
• Demopolis Emergency Physicians, LLC
• Demopolis Pediatrics
• Dr Keith Dismukes L.L.C.
• Dr. Nakieta M. Lankster LLC
• James Daniel Dreading, D.M.D.
• DRS. Ketcham and Dismukes
• Dva Healthcare Renal Care Inc

• All providers in Demopolis, AL
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.

Verify at the official NPI Registry.