Individual provider Active NPI

Alec Bruce Hood, MD

  • Family Medicine Physician
  • McLeansboro, IL
National Provider Identifier
1760442776
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036055187 Issued in IL
Practice address
611 S Marshall Ave
McLeansboro, IL 62859
Phone
(618) 643-4371
Fax
(618) 643-2027
NPI assigned
Mar 24, 2006
Last updated
May 31, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036055187 IL Primary
Surgery Physician 208600000X 036055187 IL

Addresses

Primary practice location

611 S Marshall Ave
McLeansboro, IL 62859

Mailing address

611 S Marshall Ave
PO Box 367
McLeansboro, IL 62859
Phone (618) 643-4371

Other identifiers 1

IdentifierTypeStateIssuer
036055187MedicaidIL

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100604000021 IL Practitioner - Family PracticePractitioner - General Surgery 5799814562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Surgery
Education
Loyola University of Chicago, Stritch School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

611 S Marshall Ave
MC Leansboro, IL 62859-1213
Phone (618) 643-2361

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton County Health Department Current Accepting new patients
Hamilton Memorial Hospital District Current Accepting new patients
Hamilton Memorial Hospital District Current Accepting new patients

Locations

1112 Oak St
Carmi, IL 62821
Phone (618) 382-2222

1112 Oak St
Ste 102
Carmi, IL 62821
Phone (618) 382-5030

611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146

Interoperability endpoints

  • Direct secure messaging: ahood81916@direct-ehr-ssmhc.com
  • FHIR API: https://fhir-usa.unify.chbase.com/org/hamilto-2525a05c
  • FHIR API: https://fhir4.healow.com/fhir/r4/JBCFCA

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, 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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1760442776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S MARSHALL AVE",
            "address_2": "PO BOX 367",
            "city": "MCLEANSBORO",
            "state": "IL",
            "postal_code": "62859",
            "telephone_number": "618-643-4371",
            "fax_number": "618-643-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S MARSHALL AVE",
            "city": "MCLEANSBORO",
            "state": "IL",
            "postal_code": "62859",
            "telephone_number": "618-643-4371",
            "fax_number": "618-643-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOD",
        "first_name": "ALEC",
        "middle_name": "BRUCE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036055187",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036055187",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036055187",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McLeansboro, IL

Sources for this page

Verify at the official NPI Registry.