NPIMap

Individual provider Active NPI

David A Alcindor, M.D.

  • Family Medicine Physician
  • McConnell AFB, KS
National Provider Identifier
1609863000
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-30794 Issued in KS
Practice address
57950 Leavenworth St
22 MDG SGQ
McConnell AFB, KS 67221-3506
Phone
(316) 759-5864
Fax
(316) 759-5038
NPI assigned
Sep 30, 2005
Last updated
Oct 21, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-30794 KS Primary
Emergency Medicine Physician 207P00000X 0430794 KS

Addresses

Primary practice location

57950 Leavenworth St
22 MDG SGQ
McConnell AFB, KS 67221-3506

Mailing address

57950 Leavenworth St
22 MDG SGQ
McConnell AFB, KS 67221-3506
Phone (316) 759-5864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181204002080 NM Practitioner - Family PracticePractitioner - Emergency Medicine 5991808768 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Emergency Medicine LLCGroup PAC ID 9032546783, 10 clinicians

Practice addresses (Care Compare)

104 Legion Dr
Las Vegas, NM 87701-4804
Phone (505) 426-3500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.28 of 100Reported as group
Quality
48.55
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-30794KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Lincoln Hospital District Emergency Medicine Current Accepting new patients
San Miguel Hospital Corporation Current Accepting new patients
Summit Emergency Medicine LLC Emergency Medicine CurrentSince Oct 31, 2024 Accepting new patients
South Lincoln Hospital District Family Medicine CurrentSince Jul 23, 2022 Accepting new patients
South Lincoln Hospital District CurrentSince Jul 23, 2022 Accepting new patients
South Lincoln Hospital District Current Accepting new patients
Michael a Rowley MD PA Past Accepting new patients
Pawnee Valley Community Hospital Inc Past Accepting new patients

Locations

104 Legion Dr
Las Vegas, NM 87701
Phone (505) 426-3500

711 Onyx St
Kemmerer, WY 83101
Phone (307) 877-4401

Interoperability endpoints

  • Direct secure messaging: david.alcindor.1@11894.direct.athenahealth.com
  • Direct secure messaging: david.alcindor.2@15452.direct.athenahealth.com
  • Direct secure messaging: david.alcindor@khindirect.org
  • FHIR API: https://api.platform.athenahealth.com/16971/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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 2

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1609863000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57950 LEAVENWORTH ST",
            "address_2": "22 MDG SGQ",
            "city": "MCCONNELL AFB",
            "state": "KS",
            "postal_code": "672213506",
            "telephone_number": "316-759-5864",
            "fax_number": "316-759-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57950 LEAVENWORTH ST",
            "address_2": "22 MDG SGQ",
            "city": "MCCONNELL AFB",
            "state": "KS",
            "postal_code": "672213506",
            "telephone_number": "316-759-5864",
            "fax_number": "316-759-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCINDOR",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-30794",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "0430794",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McConnell AFB, KS

Sources for this page

Verify at the official NPI Registry.