Individual provider Active NPI

Regan M Andrade, MD

  • Family Medicine Physician
  • Fairhope, AL
National Provider Identifier
1851370266
Registry record updated Oct 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27544 Issued in AL
Practice address
21875 State Highway 181
Fairhope, AL 36532-4481
Phone
(251) 928-1442
Fax
(251) 210-0969
NPI assigned
Jan 13, 2006
Last updated
Oct 8, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2012

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 01054579A IN
Family Medicine Physician 207Q00000X 27544 AL Primary

Addresses

Primary practice location

21875 State Highway 181
Fairhope, AL 36532-4481

Mailing address

21875 State Highway 181
Fairhope, AL 36532-4481
Phone (251) 928-1442

Other identifiers 1

IdentifierTypeStateIssuer
200346320AMedicaidIN

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
I20070111000593 AL Practitioner - Family Practice 0941266696

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

21875 Hwy 181
Fairhope, AL 36532

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.07 of 100Reported as individual
Quality
92.12
Improvement activities
40
Cost
80.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27544ALMDFamily Medicine Physician
01054579AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Manchester Clinic, LLC Past Accepting new patients
N Bruce Blaum DMD Magd LLC PastSince Sep 4, 2012 Accepting new patients
St. Joseph Health System, LLC Past Accepting new patients
Redimed Dekalb LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: reganm.andrade@ffml.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349654400000",
    "number": "1851370266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21875 STATE HIGHWAY 181",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365324481",
            "telephone_number": "251-928-1442",
            "fax_number": "251-210-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21875 STATE HIGHWAY 181",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365324481",
            "telephone_number": "251-928-1442",
            "fax_number": "251-210-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRADE",
        "first_name": "REGAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2012-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01054579A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "27544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200346320A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.