Individual provider Active NPI

Dennis Robert McClain, M.D.

  • Occupational Medicine Physician
  • New Albany, IN
National Provider Identifier
1417051053
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
01030085A Issued in IN
Practice address
3605 Northgate CT Ste 110
New Albany, IN 47150-6400
Phone
(812) 949-5749
Fax
(812) 929-5794
NPI assigned
Sep 12, 2006
Last updated
Aug 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 01030085A IN Primary
General Practice Physician 208D00000X 01030085A IN

Addresses

Primary practice location

3605 Northgate CT Ste 110
New Albany, IN 47150-6400

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address dmcclain67116@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/
FHIR URL https://epicsoap.nortonhealthcare.org/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 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
I20110307000492 IN Practitioner - Emergency Medicine 1658551650 Reassigns benefits to 1 organization
I20160627002070 KY Practitioner - Emergency Medicine 1658551650 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01030085AINMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Apr 16, 2016 Accepting new patients
Community Medical Associates, Inc. CurrentSince Mar 22, 2014 Accepting new patients
Community Medical Associates, Inc. CurrentSince Mar 22, 2014 Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients
Northgate Urgent Care LLC PastSince Nov 28, 2010 Accepting new patients

Locations

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

3605 Northgate Ct
Ste 110
New Albany, IN 47150
Phone (812) 949-5749

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

Interoperability endpoints

  • Direct secure messaging: dmcclain67116@direct.nortonhealthcare.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1417051053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 NORTHGATE CT STE 110",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471506400",
            "telephone_number": "812-949-5749",
            "fax_number": "812-929-5794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "DENNIS",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "IN",
            "license": "01030085A",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01030085A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmcclain67116@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "3605 Northgate Ct",
            "address_2": "Suite 110",
            "city": "New Albany",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471506400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/",
            "affiliation": "N",
            "address_1": "3605 Northgate Ct",
            "address_2": "Suite 110",
            "city": "New Albany",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471506400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/",
            "affiliation": "N",
            "address_1": "3605 Northgate Ct",
            "address_2": "Suite 110",
            "city": "New Albany",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471506400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

Verify at the official NPI Registry.