Active NPI
Kevin Thompson, MD
- Orthopaedic Surgery Physician
- Tuscaloosa, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD.27183
- Practice address
- 305 Paul Bryant Drive
Tuscaloosa, AL 35401-2055 - Phone
- (205) 345-0192
- Fax
- (205) 247-2194
- NPI assigned
- May 22, 2007
- Last updated
- Oct 26, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 2009-00524 | NC | |
| Orthopaedic Surgery Physician | 207X00000X | MD.27183 | AL | Primary |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 2009-00524 | NC | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | MD.27183 | AL |
Addresses
Primary practice location
305 Paul Bryant Drive
Tuscaloosa, AL 35401-2055
Mailing address
PO Box 2447
Tuscaloosa, AL 35403-2447
Phone (205) 345-0192
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51105891 | Other | AL | BLUE CROSS BLUE SHIELD OF ALABAMA |
| 118894 | Medicaid | AL | |
| 51105892 | Other | AL | BLUE CROSS BLUE SHIELD |
| 119855 | Medicaid | AL | |
| 119857 | Medicaid | AL | |
| 51105893 | Other | AL | BLUE CROSS BLUE SHIELD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Oklahoma College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2702 Hospital Dr
Suite 101
Northport, AL 35476-3376
Phone (205) 345-0192
305 Paul W Bryant Dr E
Tuscaloosa, AL 35401-2055
Phone (205) 345-0192
400 Paul Bryant Dr E
Tuscaloosa, AL 35401-2009
Phone (205) 345-0192
Hospital & facility affiliations
- Enhabit Home Health
- Amedisys Home Health of Tuscaloosa
- Amedisys Home Health of Selma
- DCH Home Health Care Agency
- DCH Regional Medical Center
- Whitfield Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 13 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 30 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009-00524 | NC | MD | Orthopaedic Surgery Physician |
| MD.27183 | AL | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Orthopaedic Clinic, PC | Orthopaedic Surgery | Current | Accepting new patients |
| The Radiology Clinic LLC | Past | Accepting new patients | |
| University Orthopaedic Clinic, PC | Orthopaedic Surgery | Past | Accepting new patients |
Locations
935 US Highway 80 W
Demopolis, AL 36732
Phone (334) 289-2106
2702 Hospital Dr
Ste 101
Northport, AL 35476
305 Paul W Bryant Dr E
Tuscaloosa, AL 35401
400 Paul W Bryant Dr E
Tuscaloosa, AL 35401
Phone (205) 345-2627
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.
-
- Orthopaedic Surgery of the Spine Physician
- Tuscaloosa, AL
- NPI 1073551461
-
- Diagnostic Radiology Physician
- Tuscaloosa, AL
- NPI 1649235243
-
- Orthopaedic Surgery Physician
- Northport, AL
- NPI 1760785703
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Amedisys Home Health of Tuscaloosa
- Home Health Agency
- Northport, AL
- NPI 1093773319
-
dba Enhabit Home Health
- Home Health Agency
- Hoover, AL
- NPI 1629539077
-
dba DCH Home Health Care Agency
- Home Health Agency
- Tuscaloosa, AL
- NPI 1275587073
-
dba DCH Health & Wellness Clinic
- Clinic/Center
- Tuscaloosa, AL
- NPI 1306613211
Hospital
-
dba DCH Outpatient Services
- Clinic/Center
- Tuscaloosa, AL
- NPI 1780927681
Hospital
-
dba DCH Regional Medical Center
- General Acute Care Hospital
- Tuscaloosa, AL
- NPI 1841394418
-
dba Whitfield Regional Hospital
- General Acute Care Hospital
- Demopolis, AL
- NPI 1588690085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288051200000",
"number": "1396954749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2447",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354032447",
"telephone_number": "205-345-0192",
"fax_number": "205-247-2194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 PAUL BRYANT DRIVE",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354012055",
"telephone_number": "205-345-0192",
"fax_number": "205-247-2194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2010-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "2009-00524",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AL",
"license": "MD.27183",
"primary": true
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NC",
"license": "2009-00524",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "AL",
"license": "MD.27183",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
"identifier": "51105891",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118894",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51105892",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119855",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119857",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51105893",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.