Individual provider Active NPI

Altressa D Drummond, MD

  • Hospitalist Physician
  • Belleville, IL
National Provider Identifier
1891722849
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
036137386 Issued in IL
Practice address
4500 Memorial Dr
Belleville, IL 62226
Phone
(618) 257-6220
Fax
(618) 257-6679
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301084675 MI
Hospitalist Physician 208M00000X 2017001186 MO
Hospitalist Physician 208M00000X 036137386 IL Primary

Addresses

Primary practice location

4500 Memorial Dr
Belleville, IL 62226

Mailing address

4500 Memorial Dr
Belleville, IL 62226-5360
Phone (618) 257-6220

Other practice location 1

1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone (269) 985-4632

Other practice location 2

201 E Nicollet Blvd
Burnsville, MN 55337-5714
Phone (952) 892-2000

Other practice location 3

1101 W Liberty St
Farmington, MO 63640-1921
Phone (573) 705-1272

Other identifiers 4

IdentifierTypeStateIssuer
BLUE CROSSOtherMI1101110432
4652527MedicaidMI
CIGNAOther8571064
P00189667OtherRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MO, IL, ND, AL5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20141222002037 TX Practitioner - Internal Medicine 5496717456 Reassigns benefits to 1 organization
I20170209000935 MO Practitioner - Internal Medicine 5496717456 Reassigns benefits to 1 organization
I20181224000231 IL Practitioner - Internal MedicinePractitioner - Hospitalist 5496717456 Reassigns benefits to 1 organization
I20190320001484 ND Practitioner - Internal Medicine 5496717456 Reassigns benefits to 2 organizations
I20220930000152 AL Practitioner - Family Practice 5496717456 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Toledo College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Missouri Hospital Physicians LLCGroup PAC ID 9133024334, 206 clinicians

Practice addresses (Care Compare)

1701 Lacey St
Cape Girardeau, MO 63701-5230
Phone (573) 334-4822

Hospital & facility affiliations

  • Mercy Hospital Southeast Hospital, Cape Girardeau, MO, CCN 260110
  • Mercy Hospital Stoddard Hospital, Dexter, MO, CCN 260160
  • Poplar Bluff Regional Medical Center Hospital, Poplar Bluff, MO, CCN 260119
  • Mercy Hospital Perry Hospital, Perryville, MO, CCN 261311
  • Missouri Delta Medical Center Hospital, Sikeston, MO, CCN 260113

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Alexius Medical Center CurrentSince Feb 25, 2019 Accepting new patients
Capstone Health Services Foundation PC CurrentSince Aug 30, 2022 Accepting new patients
Mercy Medical Center Internal Medicine CurrentSince Mar 6, 2019 Accepting new patients
Mercy Medical Center Current Accepting new patients
The DCH Health Care Authority CurrentSince Aug 27, 2023 Accepting new patients
Southeast Missouri Hospital Physicians, LLC Hospitalist CurrentSince Jan 30, 2024 Accepting new patients
Tuba City Regional Health Care Corporation Internal Medicine Current Accepting new patients
24 On Physicians, PC Hospitalist CurrentSince May 27, 2023 Accepting new patients
St Alexius Medical Center CurrentSince Feb 25, 2019 Accepting new patients
Lechee Health Facility Internal Medicine CurrentSince Dec 22, 2014 Accepting new patients
Whatley Health Services, Inc. CurrentSince Aug 31, 2022 Accepting new patients
Capstone Health Services Foundation PC CurrentSince Aug 30, 2022 Accepting new patients
Whatley Health Services Inc Current Accepting new patients
Whatley Health Services, Inc. CurrentSince Aug 31, 2022 Accepting new patients
The DCH Healthcare Authority CurrentSince Aug 27, 2023 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Dec 22, 2014 Accepting new patients
24 On Physicians, P.C. Hospitalist CurrentSince May 27, 2023 Accepting new patients
Mercy Home Care CurrentSince Mar 6, 2019 Accepting new patients
Fairview Heights Medical Group SC Past Accepting new patients
Southeast Hospital Past Accepting new patients
Southwestern Medical Clinic PC Past Accepting new patients

Locations

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

2731 Ml King Jr Blvd
Tuscaloosa, AL 35401
Phone (205) 349-3250

850 Peter Bryce Blvd
Tuscaloosa, AL 35401

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

405 W Jackson St
Carbondale, IL 62901

201 S 14th St
Herrin, IL 62948
Phone (618) 942-2171

1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224

211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

1213 15th Ave W
Williston, ND 58801
Phone (701) 572-7641

Interoperability endpoints

  • Direct secure messaging: adrummond72590@sih.direct-ci.com

Organizations & group practices 21

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.

View all 21

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1891722849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 MEMORIAL DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265360",
            "telephone_number": "618-257-6220",
            "fax_number": "618-257-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 MEMORIAL DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "62226",
            "telephone_number": "618-257-6220",
            "fax_number": "618-257-6679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1234 Napier Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MI",
            "postal_code": "490852112",
            "country_code": "US",
            "telephone_number": "269-985-4632",
            "fax_number": "269-985-4623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 E Nicollet Blvd",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553375714",
            "country_code": "US",
            "telephone_number": "952-892-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 W Liberty St",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "MO",
            "postal_code": "636401921",
            "country_code": "US",
            "telephone_number": "573-705-1272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRUMMOND",
        "first_name": "ALTRESSA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2023-03-07",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301084675",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2017001186",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036137386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1101110432",
            "identifier": "BLUE CROSS",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4652527",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "8571064",
            "identifier": "CIGNA",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00189667",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "bjc",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4500 Memorial Dr",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "62226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

Verify at the official NPI Registry.