Individual provider Active NPI

Elbert Alan Duncan, M.D.

  • Radiation Oncology Physician
  • Tupelo, MS
National Provider Identifier
1720020795
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
11616 Issued in MS
Practice address
990 South Madison Street
Tupelo, MS 38801-6308
Phone
(662) 620-7101
Fax
(662) 842-1457
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 11616 MS Primary

Addresses

Primary practice location

990 South Madison Street
Tupelo, MS 38801-6308

Mailing address

2000A Southbridge Pkwy
Ste 300
Birmingham, AL 35209-7718
Phone (205) 871-4274

Other identifiers 12

IdentifierTypeStateIssuer
00017748MedicaidMS
144586MedicaidAL
144351MedicaidAL
144391MedicaidAL
511-30495OtherALBLUE CROSS
009700300MedicaidAL
300001093OtherMEDICARE
300125168OtherMSRAILROAD MEDICARE
511-30494OtherALBLUE CROSS
511-55489OtherALBLUE CROSS
166717MedicaidAL
511-30486OtherALBLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121217000122 AL Practitioner - Radiation Oncology 3870554132 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Alabama School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology Centers of Alabama, PCGroup PAC ID 0941264345, 60 clinicians

Practice addresses (Care Compare)

3485 Independence Dr
Homewood, AL 35209-5603
Phone (205) 930-0920

408 1St St N
Suite 100
Alabaster, AL 35007-9271
Phone (205) 930-0920

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.04 of 100Reported as group
Quality
68.83
Promoting interoperability
89
Improvement activities
40
Cost
83.82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11616MSMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Birmingham Radiological Group PC Radiation Oncology CurrentSince Dec 30, 2019 Accepting new patients
Birmingham Radiological Group, PC CurrentSince Dec 30, 2019 Accepting new patients
Imaging Centers for Excellence, LLC PastSince Aug 1, 2006 Accepting new patients

Locations

2000A Southbridge Pkwy
Ste 300
Birmingham, AL 35209

50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

Interoperability endpoints

  • Direct secure messaging: eduncan@uca.gwaydirect.com
  • Direct secure messaging: elbertduncan@uca.allscriptsdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1720020795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000A SOUTHBRIDGE PKWY",
            "address_2": "STE 300",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352097718",
            "telephone_number": "205-871-4274",
            "fax_number": "205-871-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 SOUTH MADISON STREET",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016308",
            "telephone_number": "662-620-7101",
            "fax_number": "662-842-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "ELBERT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MS",
            "license": "11616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
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        },
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            "issuer": null,
            "identifier": "144586",
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        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "144351",
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        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "144391",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
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        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "009700300",
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        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "300001093",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300125168",
            "state": "MS"
        },
        {
            "code": "01",
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            "issuer": "BLUE CROSS",
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        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "511-55489",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166717",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "511-30486",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.