Individual provider Active NPI

Allan Alexander Mackay, MD

  • Anesthesiology Physician
  • Bloomington, IN
National Provider Identifier
1811904923
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01062200A Issued in IN
Practice address
100 N Curry Pike
A1
Bloomington, IN 47404-2593
Phone
(812) 339-5424
Fax
(812) 339-5413
NPI assigned
Aug 2, 2006
Last updated
Mar 29, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01062200A IN Primary

Addresses

Primary practice location

100 N Curry Pike
A1
Bloomington, IN 47404-2593

Mailing address

100 N Curry Pike
Bloomington, IN 47404-2593
Phone (812) 339-5424

Other identifiers 2

IdentifierTypeStateIssuer
200830920AMedicaidIN
000000537577OtherINBLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20061215000301 IN Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 8224037460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 N Curry Pike
Bloomington, IN 47404-2593
Phone (812) 339-5424

2955 S 13TH St
Terre Haute, IN 47802-3211
Phone (812) 232-1488

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baxter County Regional Hospital, Inc Past Accepting new patients
Southern Indiana Anesthesiology Anesthesiology Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459209600000",
    "number": "1811904923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N CURRY PIKE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474042593",
            "telephone_number": "812-339-5424",
            "fax_number": "812-339-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N CURRY PIKE",
            "address_2": "A1",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474042593",
            "telephone_number": "812-339-5424",
            "fax_number": "812-339-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKAY",
        "first_name": "ALLAN",
        "middle_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2016-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01062200A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200830920A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "000000537577",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.