David A Alcindor, M.D.
Individual provider Active NPI Family Medicine Physician · McConnell Afb, KS
NPI 1609863000 · NPPES record last updated Oct 21, 2009
Key facts
- NPI
- 1609863000
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 04-30794 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- 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 LLC
Practice addresses (Care Compare)
104 Legion Dr
Las Vegas, NM 87701-4804
Phone (505) 426-3500
Hospital & facility affiliations
- Alta Vista Regional Hospital
- Dr Dan C Trigg Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.28 of 100
- Quality
- 48.55
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181204002080 | NM | Practitioner - Family Practice |
5991808768 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-30794 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Emergency Medicine LLC | Emergency Medicine | Current |
Accepting new patients |
| South Lincoln Hospital District | Family Medicine | Current |
Accepting new patients |
| South Lincoln Hospital District | Emergency Medicine | Current | Accepting new patients |
| South Lincoln Hospital District | Current | Accepting new patients | |
| San Miguel Hospital Corporation | Current | Accepting new patients | |
| South Lincoln Hospital District | Current |
Accepting new patients | |
| Pawnee Valley Community Hospital Inc | Past | Accepting new patients | |
| Michael a Rowley MD PA | 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
- david.alcindor@khindirect.org
- https://api.platform.athenahealth.com/16971/brand/1/csg/1/fhir/r4
- david.alcindor.2@15452.direct.athenahealth.com
- david.alcindor.1@11894.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 04-30794 | KS | Yes |
| 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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609863000 | Other | KS | BCBS |
| 200307830D | Medicaid | KS |
Other providers in McConnell Afb, KS
- 22 MDG
- 22D Medgrp-McConnell
- 22D Medgrp-McConnell
- Johnson Acopan Jr.
- Michelle Renee Alders
- Natalie Dawn Ashmore
- Brian Russell Balcolm
- Diane Sue Bidwell
- Marilyn R Brandt
All providers in McConnell Afb, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.