NPIMap

Individual provider Active NPI

Rick L McKenzie, MD

  • Neurological Surgery Physician
  • Tuscaloosa, AL
National Provider Identifier
1710927694
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
18932 Issued in AL
Practice address
701 University Blvd E
Suite 702
Tuscaloosa, AL 35401-2086
Phone
(205) 752-0441
Fax
(205) 344-6446
NPI assigned
Jun 7, 2006
Last updated
Jun 21, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 18932 AL Primary

Addresses

Primary practice location

701 University Blvd E
Suite 702
Tuscaloosa, AL 35401-2086

Mailing address

701 University Blvd E
Suite 702
Tuscaloosa, AL 35401-2086
Phone (205) 752-0441

Other identifiers 1

IdentifierTypeStateIssuer
009929935MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20100922000973 AL Practitioner - Neurosurgery 7517083900 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Wayne State University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

701 University Blvd E
Suite 702
Tuscaloosa, AL 35401-7479
Phone (205) 759-7561

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion43
Laminectomy or laminotomy (partial removal of spine bones)17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18932ALMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Alabama Physician Associates LLC Neurological Surgery CurrentSince Mar 1, 2022 Accepting new patients
The DCH Health Care Authority CurrentSince Feb 11, 2022 Accepting new patients
West Alabama Physician Associates, LLC Current Accepting new patients
West Alabama Palliative Care Service LLC Current Accepting new patients
DCH Healthcare Authority Current Accepting new patients
The DCH Healthcare Authority CurrentSince Feb 11, 2022 Accepting new patients
Fayette Medical Center CurrentSince Jun 10, 2022 Accepting new patients
West Alabama Physician Associates, LLC CurrentSince Mar 1, 2022 Accepting new patients
West Alabama Physician Associates LLC Neurological Surgery Past Accepting new patients

Locations

1653 Temple Ave N
Fayette, AL 35555
Phone (205) 759-7063

3901 Greensboro Ave
Ste A
Tuscaloosa, AL 35405
Phone (205) 759-6165

701 University Blvd E
Ste 604
Tuscaloosa, AL 35401
Phone (205) 759-6925

701 University Blvd E
Ste 702
Tuscaloosa, AL 35401
Phone (205) 752-0441

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

Organizations & group practices 9

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 3

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277078400000",
    "number": "1710927694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 UNIVERSITY BLVD E",
            "address_2": "SUITE 702",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012086",
            "telephone_number": "205-752-0441",
            "fax_number": "205-344-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 UNIVERSITY BLVD E",
            "address_2": "SUITE 702",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012086",
            "telephone_number": "205-752-0441",
            "fax_number": "205-344-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "RICK",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2010-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AL",
            "license": "18932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009929935",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.