Individual provider Active NPI

Andrew Malcolm McAlpin, MD

  • Internal Medicine Physician
  • Lander, WY
National Provider Identifier
1386714129
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DR-45096 Issued in CO
Practice address
745 Buena Vista Dr
Lander, WY 82520-3431
Phone
(307) 332-2941
Fax
(307) 332-1920
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 221996-1 NY
Internal Medicine Physician 207R00000X DR-45096 CO Primary

Addresses

Primary practice location

745 Buena Vista Dr
Lander, WY 82520-3431

Mailing address

PO Box 9432
Belfast, ME 04915-9432
Phone (307) 332-2941

Other practice location 1

Corner of Rtes North 12
Fort Defiance PHS Hospital
Fort Defiance, AZ 86504
Phone (928) 729-8000

Other identifiers 2

IdentifierTypeStateIssuer
94021881MedicaidNM
811431MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031111000634 TX Practitioner - Internal Medicine 3870406275 Reassigns benefits to 1 organization
I20070113000063 CO Practitioner - Internal Medicine 3870406275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Pittsburgh School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Shoshone TribeGroup PAC ID 7810422193, 17 clinicians

Practice addresses (Care Compare)

PO Box
Suite 128
Fort Washakie, WY 82514-0128
Phone (307) 332-7300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR-45096COMDInternal Medicine Physician
221996-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Health System Inc CurrentSince Jan 3, 2007 Accepting new patients
Eastern Shoshone Tribe Current Accepting new patients
Eastern Shoshone Tribe CurrentSince Nov 1, 2024 Accepting new patients
Memorial Hospital of Converse County PastSince Jan 1, 2021 Accepting new patients
DHHS PHS Naihs Fort Defiance Hospital Past Accepting new patients

Locations

1311 N Mildred Rd
Cortez, CO 81321
Phone (970) 565-6666

Interoperability endpoints

  • Direct secure messaging: andrew.mcalpin.1@29403.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1386714129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9432",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049159432",
            "telephone_number": "307-332-2941",
            "fax_number": "307-332-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 BUENA VISTA DR",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203431",
            "telephone_number": "307-332-2941",
            "fax_number": "307-332-1920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Corner of Rtes North 12",
            "address_2": "Fort Defiance PHS Hospital",
            "address_purpose": "LOCATION",
            "city": "Fort Defiance",
            "state": "AZ",
            "postal_code": "86504",
            "country_code": "US",
            "telephone_number": "928-729-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCALPIN",
        "first_name": "ANDREW",
        "middle_name": "MALCOLM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "221996-1",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR-45096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94021881",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "811431",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lander, WY

Sources for this page

Verify at the official NPI Registry.