Individual provider Active NPI

Alexandria Monique McCloud, DPM

  • Podiatrist
  • Murphysboro, IL
National Provider Identifier
1609496470
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016006075 Issued in IL
Practice address
19 E Shawnee Dr Ste 3
Murphysboro, IL 62966-7072
Phone
(618) 565-1000
Fax
(618) 565-1010
NPI assigned
Apr 22, 2020
Last updated
Sep 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016006075 IL Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 016006075 IL

Addresses

Primary practice location

19 E Shawnee Dr Ste 3
Murphysboro, IL 62966-7072

Mailing address

PO Box 3988
Carbondale, IL 62902-3988
Phone (618) 457-5200

Other practice location 1

408 Lincoln Dr Ste A&b
Herrin, IL 62948-3790
Phone (618) 993-0900

Other practice location 2

2601 W Main St
Carbondale, IL 62901-1031
Phone (618) 351-7300

Electronic endpoints 4

TypeEndpointUseAffiliation
Other URL tenethealth.com
Direct Messaging Address amccloud77290@sih.direct-ci.com
Direct Messaging Address amccloud77290@sih.direct-ci.com
Direct Messaging Address amccloud77290@sih.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240827002887 IL Practitioner - Podiatry 2264854868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

19 E Shawnee Dr
Suite 3
Murphysboro, IL 62966-7072
Phone (618) 565-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82 of 100Reported as group
Quality
55.9
Promoting interoperability
100
Improvement activities
40
Cost
72.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue34
Removal of skin lesions1-10
Removal of nail tissue247
Removal or shaving of skin growth79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016006075ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Foot Care and Wellness Clinic, LLC Podiatrist CurrentSince Aug 1, 2023 Accepting new patients
Southern Illinois Medical Services, NFP CurrentSince Sep 16, 2024 Accepting new patients
Clay County Podiatry Associates PA Podiatrist PastSince Aug 1, 2023 Accepting new patients

Locations

8021 Philips Hwy
Ste 1
Jacksonville, FL 32256
Phone (904) 323-0954

430 College Dr
Ste 115
Middleburg, FL 32068
Phone (904) 291-4885

2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300

408 Lincoln Dr
Ste B
Herrin, IL 62948
Phone (618) 351-4980

19 E Shawnee Dr
Ste 3
Murphysboro, IL 62966
Phone (618) 565-1000

Interoperability endpoints

  • Direct secure messaging: amccloud77290@sih.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/18092/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/AFJGBD

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.

Hospital & facility affiliations 3

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": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1609496470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3988",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629023988",
            "telephone_number": "618-457-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E SHAWNEE DR STE 3",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629667072",
            "telephone_number": "618-565-1000",
            "fax_number": "618-565-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 Lincoln Dr Ste A&b",
            "address_purpose": "LOCATION",
            "city": "Herrin",
            "state": "IL",
            "postal_code": "629483790",
            "country_code": "US",
            "telephone_number": "618-993-0900",
            "fax_number": "618-993-9994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 W Main St",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "IL",
            "postal_code": "629011031",
            "country_code": "US",
            "telephone_number": "618-351-7300",
            "fax_number": "618-457-7890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLOUD",
        "first_name": "ALEXANDRIA",
        "middle_name": "MONIQUE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-22",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016006075",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016006075",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tenethealth.com",
            "affiliation": "N",
            "address_1": "2001 W 68th St Ste 20",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330161801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amccloud77290@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "408 Lincoln Dr Ste A&b",
            "city": "Herrin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629483790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amccloud77290@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "19 E Shawnee Dr Ste 3",
            "city": "Murphysboro",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629667072",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amccloud77290@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "2601 W Main St",
            "city": "Carbondale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629011031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Murphysboro, IL

Sources for this page

Verify at the official NPI Registry.