Fulton G Defour, MD
Individual provider Active NPI Hospitalist Physician · Fairhope, AL
NPI 1356326367 · NPPES record last updated Jul 1, 2019
Key facts
- NPI
- 1356326367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 22716 (AL)
- Practice address
- 750 Morphy Ave
Fairhope, AL 36532-1812 - Phone
- (251) 990-1922
- NPI assigned
- Dec 13, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gulf Health Hospitals Inc
Imc-Hospitalists LLC
Practice addresses (Care Compare)
188 Hospital Dr
Suite 402
Fairhope, AL 36532-2018
Phone (251) 279-1245
750 Morphy Ave
Fairhope, AL 36532-1812
Phone (251) 435-7289
Hospital & facility affiliations
- Thomas Hospital
- Baldwin Health
- Mobile Infirmary Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080708000315 | AL | Practitioner - Hospitalist |
7315019361 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22716 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imc-Hospitalists LLC | Hospitalist | Current |
Accepting new patients |
| Gulf Health Hospitals, Inc. | Current |
Accepting new patients | |
| Gulf Health Hospitals, Inc. | Internal Medicine | Current |
Accepting new patients |
| West Florida Regional Medical Center | Internal Medicine | Past | Accepting new patients |
| Gulf Health Hospitals, Inc | Past | Accepting new patients |
Locations
8367 Morphy Ave
Ste A
Fairhope, AL 36532
Phone (251) 279-1245
188 Hospital Dr
Ste 402
Fairhope, AL 36532
Phone (251) 279-1245
750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375
5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415
1725 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-1366
Interoperability endpoints
- fdefour25398@directinfirmaryhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 22716 | AL | |
| Hospitalist Physician | 208M00000X | 22716 | AL | Yes |
Addresses
Primary practice location
750 Morphy Ave
Fairhope, AL 36532-1812
Mailing address
1725 Spring Hill Ave
Mobile, AL 36604-1402
Phone (251) 435-1366
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11045567 | Other | CAQH |
Other providers in Fairhope, AL
- Robert Arthur Dawson
- Loretta M Dean
- Mollie Wallace Dean
- Brian David Dearing
- Daniel Carvel Deese
- Timothy D Deloach
- Delta Behavioral Health, LLC
- Jason Robert Determann
- Gustavo Adolfo Diaz
- Shari W Dichiara
All providers in Fairhope, AL · Hospitalist Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.