NPIMap

Individual provider Active NPI

Jean M Crepault, MD

  • Family Medicine Physician
  • Montgomery, AL
National Provider Identifier
1801854369
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19776 Issued in AL
Practice address
6994 Winton Blount Blvd
Montgomery, AL 36117-3802
Phone
(334) 271-5700
Fax
(334) 271-5803
NPI assigned
May 3, 2006
Last updated
Jul 9, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19776 AL Primary

Addresses

Primary practice location

6994 Winton Blount Blvd
Montgomery, AL 36117-3802

Mailing address

6994 Winton Blount Blvd
Montgomery, AL 36117-3802
Phone (334) 271-5700

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
I20101015000728 AL Practitioner - Family Practice 1456544030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keith S. Hughes, M.D.,P.C.Group PAC ID 7911927397, 2 clinicians

Practice addresses (Care Compare)

6994 Winton Blount Blvd
Montgomery, AL 36117-3556
Phone (334) 271-5700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Keith S. Hughes, M.D.,P.C. Family Medicine CurrentSince Jan 31, 1997 Accepting new patients

Locations

6994 Winton Blount Blvd
Montgomery, AL 36117
Phone (334) 271-5700

Interoperability endpoints

  • Direct secure messaging: jean.crepault@eastfam.direct.medconnect-inc.com

Organizations & group practices 1

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 6

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1801854369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6994 WINTON BLOUNT BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173802",
            "telephone_number": "334-271-5700",
            "fax_number": "334-271-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6994 WINTON BLOUNT BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173802",
            "telephone_number": "334-271-5700",
            "fax_number": "334-271-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREPAULT",
        "first_name": "JEAN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "19776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.