Individual provider Active NPI

Alana C Thompson-Byrd, MD

  • Family Medicine Physician
  • Millstadt, IL
National Provider Identifier
1326056540
Registry record updated Oct 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2013036399 Issued in MO
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, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036111851MedicaidIL
08221043OtherILBCBS 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

LicenseStateTypeSpecialty
036-111851ILMDFamily Medicine Physician
2013036699MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.