Active NPI
Alana C Thompson-Byrd, MD
- Family Medicine Physician
- Millstadt, IL
National Provider Identifier
1326056540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2013036399
- Practice address
- 60 Regency PL
Millstadt, IL 62260-2210 - Phone
- (618) 476-3373
- Fax
- (618) 476-1890
- NPI assigned
- Aug 3, 2006
- Last updated
- Oct 10, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2013036699 | MO | |
| Family Medicine Physician | 207Q00000X | 036-111851 | IL | |
| Family Medicine Physician | 207Q00000X | 2013036399 | MO | Primary |
Addresses
Primary practice location
60 Regency PL
Millstadt, IL 62260-2210
Mailing address
60 Regency PL
Millstadt, IL 62260-2210
Phone (618) 476-3373
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036111851 | Medicaid | IL | |
| 08221043 | Other | IL | BCBS OF ILLINOIS GROUP # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-111851 | IL | MD | Family Medicine Physician |
| 2013036699 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Physicians of Southern Illinois, PC | Family Medicine | Past | Accepting new patients |
| Midwest Emergency Management, Inc. | Past | Accepting new patients | |
| Midwest Emergency Department Services Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Belleville, IL
- NPI 1023034618
-
- Emergency Medicine Physician
- Belleville, IL
- NPI 1801843974
-
- Urgent Care Clinic/Center
- O'Fallon, IL
- NPI 1487601506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507593600000",
"number": "1326056540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 REGENCY PL",
"city": "MILLSTADT",
"state": "IL",
"postal_code": "622602210",
"telephone_number": "618-476-3373",
"fax_number": "618-476-1890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 REGENCY PL",
"city": "MILLSTADT",
"state": "IL",
"postal_code": "622602210",
"telephone_number": "618-476-3373",
"fax_number": "618-476-1890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON-BYRD",
"first_name": "ALANA",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2017-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2013036699",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-111851",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2013036399",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036111851",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ILLINOIS GROUP #",
"identifier": "08221043",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Millstadt, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.