Active NPI
Mark H Lequire, M.D.
- Diagnostic Radiology Physician
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 00013481
- Practice address
- 2055 Normandie Dr
Suite 108
Montgomery, AL 36111-2732 - Phone
- (334) 288-4624
- Fax
- (334) 280-3628
- NPI assigned
- Aug 31, 2005
- Last updated
- Nov 2, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 00013481 | AL | Primary |
| Diagnostic Radiology Physician | 2085R0202X | ME89827 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | 20761 | SC | |
| Diagnostic Radiology Physician | 2085R0202X | 35-07-9272-L | OH | |
| Diagnostic Radiology Physician | 2085R0202X | 0000-39011 | NC | |
| Diagnostic Radiology Physician | 2085R0202X | H3097 | TX | |
| Diagnostic Radiology Physician | 2085R0202X | 34736 | TN | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 00013481 | AL | |
| Vascular & Interventional Radiology Physician | 2085R0204X | ME89827 | FL | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 20761 | SC | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 35-07-9272-L | OH | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 0000-39011 | NC | |
| Vascular & Interventional Radiology Physician | 2085R0204X | H3097 | TX | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 34736 | TN |
Addresses
Primary practice location
2055 Normandie Dr
Suite 108
Montgomery, AL 36111-2732
Mailing address
2055 Normandie Dr
Suite 108
Montgomery, AL 36111-2732
Phone (334) 288-4624
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000058866 | Other | AL | IDTF |
| 009972715 | Medicaid | AL | |
| 009928435 | Medicaid | AL | |
| 009971800 | Medicaid | AL | |
| 000058867 | Other | AL | IDTF |
| 051551047 | Medicaid | AL | |
| 107037 | Medicaid | AL | |
| 009922335 | Medicaid | AL | |
| 009930805 | Medicaid | AL | |
| 009971820 | Medicaid | AL | |
| 009971830 | Medicaid | AL | |
| 051504364 | Other | AL | IDTF |
| 107038 | Medicaid | AL | |
| 108071 | Medicaid | AL | |
| 009951085 | Medicaid | AL | |
| 108246 | Medicaid | AL | |
| 270021200 | Medicaid | FL | |
| 009973725 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Alabama School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Highlands, NC 28741
Phone (334) 269-6337
1015 Medical Ctr Pkwy
Selma, AL 36701-6748
Phone (334) 418-4100
105 US Hwy 80 E
Demopolis, AL 36732-3605
Phone (334) 289-4000
2000 Pepperell Pkwy
Opelika, AL 36801-5452
Phone (334) 269-6337
85 Sagee Dr
Highlands, NC 28741-8602
Phone (334) 269-6337
Hospital & facility affiliations
- Baptist Medical Center South
- The East Alabama Healthcare Authority
- Baptist Medical Center East
- Prattville Baptist Hospital
- Vaughan Regional Medical Center Parkway Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000-39011 | NC | MD | Diagnostic Radiology Physician |
| 00013481 | AL | MD | Vascular & Interventional Radiology Physician |
| ME89827 | FL | MD | Vascular & Interventional Radiology Physician |
| H3097 | TX | MD | Vascular & Interventional Radiology Physician |
| 20761 | SC | MD | Nurse Practitioner |
| 34736 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Selma Radiology Associates P C | Current | Accepting new patients | |
| Alabama Imaging PC | Current | Accepting new patients | |
| Charlotte Radiology P a | Past | Accepting new patients | |
| Open MRI of Tifton LLC | Past | Accepting new patients |
Locations
105 US Highway 80 E
Demopolis, AL 36732
Phone (334) 287-2669
2055 Normandie Dr
Ste 108
Montgomery, AL 36111
Phone (334) 288-4624
2055 Normandie Dr
Ste 200
Montgomery, AL 36111
Phone (205) 262-0655
2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842
2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300
1015 Medical Center Pkwy
Selma, AL 36701
Phone (334) 418-4100
Interoperability endpoints
- mark.lequire@direct.baptistfirst.org
Organizations & group practices 5
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.
-
- Specialist
- Charlotte, NC
- NPI 1649220443
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Tifton, GA
- NPI 1679542526
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Medical Center East
- General Acute Care Hospital
- Montgomery, AL
- NPI 1104917780
-
dba Baptist Medical Center South
- General Acute Care Hospital
- Montgomery, AL
- NPI 1700977105
-
dba East Alabama Medical Center
- General Acute Care Hospital
- Opelika, AL
- NPI 1154386431
-
dba Prattville Baptist Hospital
- General Acute Care Hospital
- Prattville, AL
- NPI 1942391230
-
dba Vaughan Regional Medical Center
- Rural Acute Care Hospital
- Selma, AL
- NPI 1871655993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320192000000",
"number": "1336133735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 NORMANDIE DR",
"address_2": "SUITE 108",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361112732",
"telephone_number": "334-288-4624",
"fax_number": "334-280-3628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 NORMANDIE DR",
"address_2": "SUITE 108",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361112732",
"telephone_number": "334-288-4624",
"fax_number": "334-280-3628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEQUIRE",
"first_name": "MARK",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2011-11-02",
"status": "A"
},
"taxonomies": [
{
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},
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},
{
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},
{
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{
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},
{
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{
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"primary": false
},
{
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},
{
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{
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},
{
"code": "2085R0204X",
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"desc": "Radiology, Vascular & Interventional Radiology",
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"license": "35-07-9272-L",
"primary": false
},
{
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},
{
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},
{
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"state": "TN",
"license": "34736",
"primary": false
}
],
"identifiers": [
{
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"issuer": "IDTF",
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},
{
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"identifier": "051551047",
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{
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{
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"code": "05",
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"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.