Michael Jeffery Dellapenna, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA009 Issued in AL

Practice address

100 Rice Mine Road Loop
Suite 205
Tuscaloosa, AL 35406-2419

Phone

(205) 752-1800

Fax

(205) 752-1891

NPI assigned

Apr 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Alabama Physician Associates LLCGroup PAC ID 3476620311, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DCH Regional Medical Center Hospital, Tuscaloosa, AL, CCN 010092

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• West Alabama Physician Associates, LLC

  • Urology Physician
  • Tuscaloosa, AL
  • NPI 1316101769
  Medicare reassignment Care Compare group NPD (past)
• DCH Medical Center Crna

  • Certified Registered Nurse Anesthetist
  • Tuscaloosa, AL
  • NPI 1356642045
  Medicare reassignment
• West Alabama Physician Associates LLC

  • Surgery Physician
  • Fayette, AL
  • NPI 1417362807
  NPD
• West Alabama Physician Associates, LLC

  • Orthopaedic Surgery of the Spine Physician
  • Tuscaloosa, AL
  • NPI 1861377970
  NPD
• West Alabama Physician Associates LLC

  • Neurological Surgery Physician
  • Tuscaloosa, AL
  • NPI 1164142964
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The DCH Health Care Authority

  • Clinic/Center
  • Tuscaloosa, AL
  • NPI 1306613211

  Hospital

  Care Compare affiliation
• The DCH Health Care Authority

  • Clinic/Center
  • Tuscaloosa, AL
  • NPI 1780927681

  Hospital

  Care Compare affiliation
• The DCH Healthcare Authority

  • General Acute Care Hospital
  • Tuscaloosa, AL
  • NPI 1841394418
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234396800000",
    "number": "1962467290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RICE MINE ROAD LOOP",
            "address_2": "SUITE 205",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062419",
            "telephone_number": "205-752-1800",
            "fax_number": "205-752-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RICE MINE ROAD LOOP",
            "address_2": "SUITE 205",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062419",
            "telephone_number": "205-752-1800",
            "fax_number": "205-752-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLAPENNA",
        "first_name": "MICHAEL",
        "middle_name": "JEFFERY",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2009-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529932889",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debrick, Inc.
• Monica Lisette Decker Veal, ATC
• Andrea N Decker, M.A.
• Heleene Dees
• Ashley Nicole Delaney
• Marian Deloach, LPC
• Carleson Dennis, MD
• Payton Dennis, PHARMD
• Colleen Stanley Dent, O.D.
• Dental Associates of Tuscaloosa LLC

• Physician Assistant in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; 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.

Verify at the official NPI Registry.