Individual provider Active NPI

Tamara Ann McIntosh, M.D.

  • Family Medicine Physician
  • Ohatchee, AL
National Provider Identifier
1538269816
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20130 Issued in AL
Practice address
1410 Al Highway 144
Ohatchee, AL 36271-7887
Phone
(256) 892-1241
Fax
(256) 892-3733
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20130 AL Primary

Addresses

Primary practice location

1410 Al Highway 144
Ohatchee, AL 36271-7887

Mailing address

1410 Al Hwy 144
Ohatchee, AL 36271-7887
Phone (256) 892-1241

Other identifiers 2

IdentifierTypeStateIssuer
51538228OtherBLUE CROSS
009939087MedicaidAL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061204000536 AL Practitioner - Family Practice 4082613948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Alabama College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr. Tamara McIntosh LLCGroup PAC ID 9436158391, 2 clinicians

Practice addresses (Care Compare)

1410 Al Hwy 144
Ohatchee, AL 36271-7887
Phone (256) 892-2121

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision14
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20130ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Tamara McIntosh LLC Family Medicine CurrentSince Jan 1, 2007 Accepting new patients

Locations

1410 AL Highway 144
Ohatchee, AL 36271
Phone (256) 892-1241

Interoperability endpoints

  • Direct secure messaging: tamaramcintosh@dtmillc.allscriptsdirect.net
  • Direct secure messaging: tmcintosh@dtml-al.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1538269816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 AL HWY 144",
            "city": "OHATCHEE",
            "state": "AL",
            "postal_code": "362717887",
            "telephone_number": "256-892-1241",
            "fax_number": "256-892-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 AL HIGHWAY 144",
            "city": "OHATCHEE",
            "state": "AL",
            "postal_code": "362717887",
            "telephone_number": "256-892-1241",
            "fax_number": "256-892-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "TAMARA",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "20130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51538228",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009939087",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ohatchee, AL

Sources for this page

Verify at the official NPI Registry.