Active NPI
Alison Dawn Kucich, D.O.
- Family Medicine Physician
- Gallatin, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1792
- Practice address
- 1483 Nashville Pike
Suite 302
Gallatin, TN 37066-7144 - Phone
- (615) 230-8601
- Fax
- (615) 230-9750
- NPI assigned
- Jun 9, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1792 | TN | Primary |
Addresses
Primary practice location
1483 Nashville Pike
Suite 302
Gallatin, TN 37066-7144
Mailing address
1483 Nashville Pike
Suite 302
Gallatin, TN 37066-7144
Phone (615) 230-8601
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1513218 | Medicaid | TN | |
| P00724136 | Other | TN | RAILROAD MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ALISON.KUCICH@hca1.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1720 Nashville Pike
Suite 100
Gallatin, TN 37066-3154
Phone (615) 230-8601
Hospital & facility affiliations
- NHC Homecare Springfield
- Beacon Home Health
- Tristar Hendersonville Medical Center
- Highpoint Health-Sumner With Ascension Saint Thoma
- Tristar Summit Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.28 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 87.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portland Primary Care LLC | Current | Accepting new patients | |
| Portland Primary Care, LLC | Family Medicine | Past | Accepting new patients |
Locations
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
1720 Nashville Pike
Ste 100
Gallatin, TN 37066
Phone (615) 230-8601
1483 Nashville Pike
Ste 302
Gallatin, TN 37066
Phone (615) 230-8601
355 New Shackle Island Rd
Hendersonvlle, TN 37075
Phone (615) 264-4000
103 Redbud Dr
Ste E
Portland, TN 37148
Phone (615) 325-1206
Interoperability endpoints
- alison.kucich@hca1.eclinicaldirectplus.com
Organizations & group practices 2
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
- Portland, TN
- NPI 1720034226
-
- Family Medicine Physician
- Portland, TN
- NPI 1225072473
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Amedisys Home Health Services
- Home Health Agency
- Goodlettsville, TN
- NPI 1356399752
-
dba Tristar Summit Medical Center
- General Acute Care Hospital
- Hermitage, TN
- NPI 1982650024
-
dba Tristar Hendersonville Medical Center
- General Acute Care Hospital
- Hendersonville, TN
- NPI 1538114434
-
- Home Health Agency
- Hendersonville, TN
- NPI 1215178512
-
- Home Health Agency
- Springfield, TN
- NPI 1255356143
-
dba Highpoint Health - Sumner with Ascension Saint Thomas
- General Acute Care Hospital
- Gallatin, TN
- NPI 1447571658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1720029101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1483 NASHVILLE PIKE",
"address_2": "SUITE 302",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370667144",
"telephone_number": "615-230-8601",
"fax_number": "615-230-9750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1483 NASHVILLE PIKE",
"address_2": "SUITE 302",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370667144",
"telephone_number": "615-230-8601",
"fax_number": "615-230-9750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUCICH",
"first_name": "ALISON",
"middle_name": "DAWN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "1792",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1513218",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00724136",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ALISON.KUCICH@hca1.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "1483 Nashville Pike",
"address_2": "SUITE 302",
"city": "Gallatin",
"state": "TN",
"country_code": "US",
"postal_code": "370667144",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gallatin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.