Individual provider Active NPI

Robert H McKinney, MD

  • Internal Medicine Physician
  • Corinth, MS
National Provider Identifier
1861485179
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15041 Issued in MS
Practice address
3301 Tinin Dr
Corinth, MS 38834-9054
Phone
(662) 665-9111
Fax
(662) 665-9118
NPI assigned
Aug 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 15041 MS
Internal Medicine Physician 207R00000X 15041 MS Primary

Addresses

Primary practice location

3301 Tinin Dr
Corinth, MS 38834-9054

Mailing address

3301 Tinin Dr
Corinth, MS 38834-9054
Phone (662) 665-9111

Other identifiers 1

IdentifierTypeStateIssuer
00117361MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20040615001073 MS Practitioner - Internal MedicinePractitioner - Pediatric Medicine 0345223962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Tennessee, HSC, College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Corinth Medical SpecialistsGroup PAC ID 0547251282, 4 clinicians

Practice addresses (Care Compare)

3301 Tinin Dr
Corinth, MS 38834-9054
Phone (662) 665-9111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.6 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15041MSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Corinth Medical Specialists Internal Medicine CurrentSince Oct 23, 2000 Accepting new patients

Locations

3301 Tinin Dr
Corinth, MS 38834
Phone (662) 665-9111

Interoperability endpoints

  • Direct secure messaging: robertmckinney@cmsllc.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1861485179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 TININ DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349054",
            "telephone_number": "662-665-9111",
            "fax_number": "662-665-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 TININ DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349054",
            "telephone_number": "662-665-9111",
            "fax_number": "662-665-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "ROBERT",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "15041",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "15041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00117361",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

Verify at the official NPI Registry.