Active NPI
Robert L. Dean
- Clinical Pathology/Laboratory Medicine Physician
- Meridian, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- License
- 17079
- Practice address
- 1800 12TH St
Meridian, MS 39301-4158 - Phone
- (601) 703-4282
- Fax
- (601) 703-4597
- NPI assigned
- Aug 10, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | 17079 | MS | |
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 17079 | MS | Primary |
Addresses
Primary practice location
1800 12TH St
Meridian, MS 39301-4158
Mailing address
1800 12TH St
Meridian, MS 39301-4158
Phone (601) 703-9632
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009948470 | Other | AL | MEDICAID OF AL |
| 009948470 | Other | AL | BLUE CROSS OF AL |
| 00123534 | Medicaid | MS | |
| 418195297 | Other | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100901000073 | MS | Practitioner - Pathology | 4082738802 | Reassigns benefits to 3 organizations |
| I20120709000468 | AL | Practitioner - Pathology | 4082738802 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17079 | MS | MD | Clinical Pathology/Laboratory Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Foundation, Inc. | Current | Accepting new patients | |
| Medical Foundation, Inc. | Current | Accepting new patients | |
| Rush Hospital/Butler, Inc | Current | Accepting new patients | |
| Kemper Cah, Inc. | Current | Accepting new patients | |
| Rush Hospital/Butler, Inc | Current | Accepting new patients | |
| Kemper Cah, Inc. | Current | Accepting new patients | |
| Kemper Cah, Inc | Current | Accepting new patients | |
| Rush Hospital/Butler, Inc | Current | Accepting new patients |
Locations
401 Vanity Fair Ave
Butler, AL 36904
Phone (205) 459-9100
14365 Highway 16 W
De Kalb, MS 39328
Phone (769) 486-1000
2401 16th St
Meridian, MS 39301
Phone (601) 482-4181
1800 12th St
Meridian, MS 39301
Phone (601) 483-0011
Organizations & group practices 9
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.
-
- Clinical Medical Laboratory
- Meridian, MS
- NPI 1467857102
-
- Rural Health Clinic/Center
- Meridian, MS
- NPI 1275879314
-
- Emergency Medicine Physician
- Meridian, MS
- NPI 1700917994
-
- Rural Health Clinic/Center
- Gilbertown, AL
- NPI 1275050189
-
- Medicare Defined Swing Bed Hospital Unit
- Butler, AL
- NPI 1811268410
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of South Alabama College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medical Foundation Inc
Practice addresses (Care Compare)
1314 19TH Ave
Meridian, MS 39301-4116
Phone (601) 484-6700
2401 16TH St
Meridian, MS 39301-3950
Phone (601) 482-4181
Hospital & facility affiliations
- Ochsner Rush Hospital
- Anderson Regional Medical Center
- Ochsner Scott Regional
Merit-based Incentive Payment System (MIPS)
- Final score
- 69.8 of 100
- Quality
- 85
- Improvement activities
- 0
- Cost
- 76.83
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414368000000",
"number": "1528060522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 12TH ST",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393014158",
"telephone_number": "601-703-9632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 12TH ST",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393014158",
"telephone_number": "601-703-4282",
"fax_number": "601-703-4597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "ROBERT",
"middle_name": "L.",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2014-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "MS",
"license": "17079",
"primary": false
},
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "MS",
"license": "17079",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID OF AL",
"identifier": "009948470",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF AL",
"identifier": "009948470",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00123534",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "418195297",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.