Active NPI
Annell Tucker
- Podiatric Clinic/Center
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatric Clinic/Center
- Practice address
- 215 Perry Hill Rd
115-S
Montgomery, AL 36109-3725 - Phone
- (334) 272-4670
- NPI assigned
- Jul 2, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatric Clinic/Center | 261QP1100X | Primary |
Addresses
Primary practice location
215 Perry Hill Rd
115-S
Montgomery, AL 36109-3725
Mailing address
215 Perry Hill Rd
115-S
Montgomery, AL 36109-3725
Phone (334) 272-4670
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1601 N Western Ave
Park Ridge, IL 60068-1233
Phone (847) 825-5531
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1567 |
| Removal or shaving of skin growth | 627 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excellent Medical Associates, P.C. | Current | Accepting new patients | |
| Alqaim Medical Associates Inc | Current | Accepting new patients | |
| Vitae Health Medical Illinois, PLLC | Current | Accepting new patients |
Locations
303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347
10300 Southwest Hwy
Chicago Ridge, IL 60415
Phone (708) 425-1100
701 N La Grange Rd
La Grange Pk, IL 60526
Phone (708) 681-3200
14489 John Humphrey Dr
#1
Orland Park, IL 60462
Phone (708) 364-1205
11860 Southwest Hwy
Palos Heights, IL 60463
Phone (630) 286-4000
1601 N Western Ave
Park Ridge, IL 60068
Phone (773) 960-1163
3450 Oakton St
Ste 300
Skokie, IL 60076
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Skokie, IL
- NPI 1174013452
-
- General Practice Physician
- Orland Park, IL
- NPI 1215223623
-
- General Practice Physician
- Orland Park, IL
- NPI 1932961240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278028800000",
"number": "1669784971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 PERRY HILL RD",
"address_2": "115-S",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361093725",
"telephone_number": "334-272-4670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 PERRY HILL RD",
"address_2": "115-S",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361093725",
"telephone_number": "334-272-4670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "ANNELL",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-02",
"last_updated": "2010-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "261QP1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Podiatric",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.