Individual provider Active NPI

De'Arco Rashaun McCreary, M.D.

  • Internal Medicine Physician
  • Mobile, AL
National Provider Identifier
1750624508
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
33903 Issued in AL
Practice address
2451 Fillingim St
Res Box 7TH Floor
Mobile, AL 36617-2238
Phone
(251) 471-7207
NPI assigned
Mar 30, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 33903 AL Primary

Addresses

Primary practice location

2451 Fillingim St
Res Box 7TH Floor
Mobile, AL 36617-2238

Mailing address

2451 Fillingim St
Res Box 7TH Floor
Mobile, AL 36617-2238
Phone (251) 471-7207

Other practice location 1

5100 Rangeline Service Rd N
Mobile, AL 36619-9504
Phone (251) 661-4454

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
I20160831000433 AL Practitioner - Internal Medicine 7517181092 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Alabama School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of South Alabama Health Care AuthorityGroup PAC ID 4082986088, 80 clinicians

Practice addresses (Care Compare)

2423 Schillinger Rd S
Mobile, AL 36695-4136
Phone (251) 660-5950

6300 USA Health Blvd
Mobile, AL 36608-0020
Phone (251) 633-8880

6304 USA Health Blvd
Mobile, AL 36608-0020
Phone (251) 633-8880

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33903ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Providence Healthcare Services Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Providence Healthcare Services Internal Medicine Current Accepting new patients
Alabama Providence Healthcare Services CurrentSince Jul 1, 2016 Accepting new patients
University of South Alabama Health Care Authority Internal Medicine CurrentSince Sep 1, 2021 Accepting new patients
Alabama Providence Healthcare Services Internal Medicine Current Accepting new patients

Locations

6701 Airport Blvd
Ste B329
Mobile, AL 36608
Phone (251) 633-4311

5100 Rangeline Service Rd N
Mobile, AL 36619
Phone (251) 378-4000

6701 Airport Blvd
Ste A101
Mobile, AL 36608
Phone (251) 633-8880

6304 USA Health Blvd
Mobile, AL 36608
Phone (251) 633-8880

2423 Schillinger Rd S
Mobile, AL 36695
Phone (251) 660-5950

6701 Airport Blvd
#A1
Mobile, AL 36608
Phone (251) 633-8880

6300 USA Health Blvd
Mobile, AL 36608
Phone (251) 633-8880

Interoperability endpoints

  • Direct secure messaging: de.arco.mccreary.1@16253.direct.athenahealth.com

Organizations & group practices 5

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 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": "1364601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1750624508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 FILLINGIM ST",
            "address_2": "RES BOX 7TH FLOOR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172238",
            "telephone_number": "251-471-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 FILLINGIM ST",
            "address_2": "RES BOX 7TH FLOOR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172238",
            "telephone_number": "251-471-7207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5100 Rangeline Service Rd N",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366199504",
            "country_code": "US",
            "telephone_number": "251-661-4454",
            "fax_number": "251-661-9843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCREARY",
        "first_name": "DE'ARCO",
        "middle_name": "RASHAUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-30",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "33903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.