Austin Riley Huitzacua, MD
Individual provider Active NPI Emergency Medicine Physician · Cullman, AL
NPI 1639739154 · NPPES record last updated Feb 28, 2023
Key facts
- NPI
- 1639739154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- MD.44661 (AL)
- Practice address
- 1958 Al Highway 157
Cullman, AL 35058-0609 - Phone
- (256) 737-2090
- Fax
- (256) 737-2091
- NPI assigned
- Jun 17, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Lukes Clinic - McCall LLC
Practice addresses (Care Compare)
1000 State St
McCall, ID 83638-3704
Phone (208) 634-4061
Hospital & facility affiliations
- St Luke'S McCall
- Tamarack Health Hayward Medical Center
- St Luke'S Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.2 of 100
- Quality
- 85.66
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 55
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in AL, ID, WI
- 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 |
|---|---|---|---|---|
| I20220716000595 | AL | Practitioner - Emergency Medicine |
9032537006 | Reassigns benefits to 2 organizations |
| I20230927002629 | ID | Practitioner - Family Practice | 9032537006 | Reassigns benefits to 1 organization |
| I20250318001035 | WI | Practitioner - Family Practice | 9032537006 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.44661 | AL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Island Medical Alabama LLC | Emergency Medicine | Current |
Accepting new patients |
| Immh Scottsboro LLC | Emergency Medicine | Current |
Accepting new patients |
| Memorial Medical Center Inc | Current |
Accepting new patients | |
| St Lukes Clinic - McCall LLC | Emergency Medicine | Current |
Accepting new patients |
| Memorial Medical Center Inc | Current |
Accepting new patients | |
| St Lukes McCall, LTD | Family Medicine | Past | Accepting new patients |
Locations
1912 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2496
380 Woods Cove Rd
Scottsboro, AL 35768
Phone (256) 218-3579
1000 State St
McCall, ID 83638
Phone (208) 634-2221
211 W Forest St
McCall, ID 83638
Phone (208) 467-7546
12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515
1615 Maple Ln
Ashland, WI 54806
Phone (715) 682-4563
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD.44661 | AL | |
| Emergency Medicine Physician | 207P00000X | MD.44661 | AL | Yes |
Addresses
Primary practice location
1958 Al Highway 157
Cullman, AL 35058-0609
Mailing address
1522 E a St
Casper, WY 82601-2217
Other practice location 1
1522 E A St
Casper, WY 82601-2217
Phone (307) 234-6161
Other practice location 2
1549 Highway 31 NW
Hartselle, AL 35640-4431
Phone (256) 735-5920
Other providers in Cullman, AL
- Julie Hubbert
- Katie Yearwood Hubinger
- Hailey Hudson
- Leila Corena Hudson
- Hugh P. Brindley, D.M.D., P.a.
- Courtney Humphries
- Felicia Humphries
- Leia Hunt
- Timothy Brett Hunt
- Misty Hunter
All providers in Cullman, AL · Emergency Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2023. 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.