Active NPI
Jacob F Kidder, M.D.
- Orthopaedic Surgery Physician
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- LL29233
- Practice address
- 6144 Airport Blvd
Mobile, AL 36608 - Phone
- (251) 476-5050
- Fax
- (251) 450-2770
- NPI assigned
- Oct 27, 2006
- Last updated
- Jan 20, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | LL29233 | SC | Primary |
Addresses
Primary practice location
6144 Airport Blvd
Mobile, AL 36608
Mailing address
P.O. Box 86144
Mobile, AL 36689-6144
Phone (251) 476-5050
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 Mississippi School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3610 Springhill Memorial Dr N
Mobile, AL 36608-1162
Phone (251) 476-5050
6144 Airport Blvd
Mobile, AL 36608-3143
Phone (251) 476-5050
8096 Twin Beech Rd
Unit 100
Fairhope, AL 36532-7195
Phone (251) 476-5050
Hospital & facility affiliations
- USA Health HCA Providence Hospital, LLC
- Mobile Infirmary Medical Center
- Springhill Medical Center
- George Regional Health System
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.53 of 100
- Quality
- 86.51
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 187 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL29233 | SC | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Orthopaedic Group, P.C. | Orthopaedic Surgery | Current | Accepting new patients |
| The Orthopaedic Group, PC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
6144 Airport Blvd
Mobile, AL 36608
Phone (251) 342-0004
Interoperability endpoints
- jkidder@tog1813.srs-direct.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Foley, AL
- NPI 1003158965
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mobile Infirmary Medical Center
- General Acute Care Hospital
- Mobile, AL
- NPI 1558364802
-
dba Springhill Memorial Hospital
- General Acute Care Hospital
- Mobile, AL
- NPI 1003814971
-
dba USA Health Providence Hospital
- General Acute Care Hospital
- Mobile, AL
- NPI 1992489223
-
- Rural Acute Care Hospital
- Lucedale, MS
- NPI 1023074028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263945600000",
"number": "1407931298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 86144",
"city": "MOBILE",
"state": "AL",
"postal_code": "366896144",
"telephone_number": "251-476-5050",
"fax_number": "251-450-2770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6144 AIRPORT BLVD",
"city": "MOBILE",
"state": "AL",
"postal_code": "36608",
"telephone_number": "251-476-5050",
"fax_number": "251-450-2770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIDDER",
"first_name": "JACOB",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2010-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "SC",
"license": "LL29233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.