Individual provider Active NPI

John V Allcott III, MD

  • Internal Medicine Physician
  • Eugene, OR
National Provider Identifier
1871658153
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD16571 Issued in OR
Practice address
689 E 19TH Ave
Eugene, OR 97401-4304
Phone
(541) 868-1876
NPI assigned
Dec 27, 2006
Last updated
Oct 9, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD16571 OR Primary

Addresses

Primary practice location

689 E 19TH Ave
Eugene, OR 97401-4304

Mailing address

689 E 19TH Ave
Eugene, OR 97401-4304
Phone (541) 868-1876

Other identifiers 1

IdentifierTypeStateIssuer
230482MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20101005000050 OR Practitioner - Internal Medicine 0345250965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
North Carolina Medical School, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

689 E 19TH Ave
Eugene, OR 97401-4304
Phone (541) 868-1876

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD16571ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Applegate Medical Associates CurrentSince Jun 1, 1971 Accepting new patients

Locations

689 E 19th Ave
Eugene, OR 97401
Phone (541) 345-9800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23944/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jallcott@yourcarecommunity.org
  • Direct secure messaging: john.allcott.1@23944.direct.athenahealth.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 5

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1871658153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 E 19TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014304",
            "telephone_number": "541-868-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 E 19TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014304",
            "telephone_number": "541-868-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLCOTT",
        "first_name": "JOHN",
        "middle_name": "V",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD16571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230482",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.