Individual provider Active NPI

John Scott Vanloock, M.D.

  • Dermatology Physician
  • Mobile, AL
National Provider Identifier
1366471286
Registry record updated Jun 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
23602 Issued in AL
Practice address
6163 Omni Park Dr
Mobile, AL 36609-5195
Phone
(251) 635-1315
Fax
(251) 635-1210
NPI assigned
Jul 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 23602 AL Primary

Addresses

Primary practice location

6163 Omni Park Dr
Mobile, AL 36609-5195

Mailing address

6163 Omni Park Dr
Mobile, AL 36609-5195
Phone (251) 635-1315

Other names 1

  • Dr. John Scott Vanloock Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080522000135 AL Practitioner - Dermatology 8426127093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Alabama School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Dermatology, P.C.Group PAC ID 1254400823, 2 clinicians

Practice addresses (Care Compare)

6163 Omni Park Dr
Mobile, AL 36609-5195
Phone (251) 635-1315

Merit-based Incentive Payment System (MIPS)

Final score
90.31 of 100Reported as individual
Quality
82.39
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision23
Removal of skin lesions1439
Removal of nail tissue1-10
Removal or shaving of skin growth18
Skin biopsy254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23602ALMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Dermatology, P.C. Dermatology CurrentSince Jul 1, 2008 Accepting new patients
Alabama Psychiatric Services PC PastSince Jul 1, 2008 Accepting new patients

Locations

6163 Omni Park Dr
Mobile, AL 36609
Phone (251) 635-1315

Interoperability endpoints

  • Direct secure messaging: jsvanloock@vanloock.emadirect.md

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403913600000",
    "number": "1366471286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6163 OMNI PARK DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095195",
            "telephone_number": "251-635-1315",
            "fax_number": "251-635-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6163 OMNI PARK DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095195",
            "telephone_number": "251-635-1315",
            "fax_number": "251-635-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANLOOCK",
        "first_name": "JOHN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2014-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "23602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "VANLOOCK",
            "middle_name": "SCOTT",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.