Active NPI
Allan Alexander Mackay, MD
- Anesthesiology Physician
- Bloomington, IN
National Provider Identifier
1811904923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 01062200A
- 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, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200830920A | Medicaid | IN | |
| 000000537577 | Other | IN | BLUE 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
Enrollment records 1
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
| Organization | Specialty | Status | New 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.
-
- Interventional Pain Medicine Physician
- Bloomington, IN
- NPI 1598950842
-
- Anesthesiology Physician
- Bloomington, IN
- NPI 1548255615
-
dba Baxter Health College Street Family Clinic
- Family Medicine Physician
- Mountain Home, AR
- NPI 1316777329
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.