NPIMap

Individual provider Active NPI

Austin Riley Huitzacua, MD

  • Emergency Medicine Physician
  • Cullman, AL
National Provider Identifier
1639739154
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD.44661 Issued in AL
Practice address
1958 Al Highway 157
Cullman, AL 35058-0609
Phone
(256) 737-2090
Fax
(256) 737-2091
NPI assigned
Jun 17, 2019
Last updated
Feb 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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 MD.44661 AL
Emergency Medicine Physician 207P00000X MD.44661 AL Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, ID, WI3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220716000595 AL Practitioner - Emergency MedicinePractitioner - Family Practice 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

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Clinic - McCall LLCGroup PAC ID 7618127994, 44 clinicians

Practice addresses (Care Compare)

1000 State St
McCall, ID 83638-3704
Phone (208) 634-4061

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.2 of 100Reported as group
Quality
85.66
Promoting interoperability
100
Improvement activities
40
Cost
55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.44661ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Island Medical Alabama LLC Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Memorial Medical Center Inc CurrentSince Feb 1, 2025 Accepting new patients
Immh Scottsboro LLC Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Memorial Medical Center Inc CurrentSince Feb 1, 2025 Accepting new patients
St Lukes Clinic - McCall LLC Emergency Medicine CurrentSince Jul 19, 2023 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

Organizations & group practices 7

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 4

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": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1639739154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 E A ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1958 AL HIGHWAY 157",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580609",
            "telephone_number": "256-737-2090",
            "fax_number": "256-737-2091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1522 E A St",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826012217",
            "country_code": "US",
            "telephone_number": "307-234-6161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1549 Highway 31 NW",
            "address_purpose": "LOCATION",
            "city": "Hartselle",
            "state": "AL",
            "postal_code": "356404431",
            "country_code": "US",
            "telephone_number": "256-735-5920",
            "fax_number": "256-678-7710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUITZACUA",
        "first_name": "AUSTIN",
        "middle_name": "RILEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-17",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.44661",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "MD.44661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

Verify at the official NPI Registry.