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LAUTREC WILSON RADCLIFF MD NPI 1801801493


NPI Information

NPI: 1801801493
Provider Name: LAUTREC WILSON RADCLIFF, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
2609 VILLAGE PROFESSIONAL DR
SUITE 3
OPELIKA, AL
ZIP 36801
Phone: (334) 749-6523
Get Directions

Lautrec Wilson Radcliff, MD is a nephrology internal medicine in Opelika, AL with 37 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Lautrec Wilson Radcliff, MD NPI is 1801801493. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:1987

The provider's business location address is:

2609 VILLAGE PROFESSIONAL DR
SUITE 3
OPELIKA, AL
ZIP 36801-442
Phone: (334) 749-6523
Fax: (334) 742-0242

The NPI 1801801493 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Dialysis services (4 or more physician visits per month), patient 20 years of age and older (HCPCS:90960)
  • Hemodialysis procedure with one physician evaluation (HCPCS:90935)
  • Dialysis services (2-3 physician visits per month), patient 20 years of age and older (HCPCS:90961)
  • Home dialysis services per month, patient 20 years of age or older (HCPCS:90966)

The enumeration date for this NPI number is 7/30/2006 and was last updated on 9/13/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine14179ALABAMANo
2207RN0300XInternal MedicineNephrology14179ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000038111MEDICARE ID-TYPE UNSPECIFIEDLAFAYETTE
2000079130MEDICARE ID-TYPE UNSPECIFIEDLANGDALE
3000020919MEDICARE ID-TYPE UNSPECIFIEDAUBURN
451079131OTHERALABAMABCBS OPELIKA
500079131MEDICARE ID-TYPE UNSPECIFIEDOPELIKA
651079130OTHERALABAMABCBS LANGDALE
751038111OTHERALABAMABCBS LAFAYETTE
851520919OTHERALABAMABCBS AUBURN
91801801493OTHERALABAMANPI
1051079203OTHERALABAMABCBS TUSKEGEE
11CC1726OTHERALABAMARRMC
1251079111OTHERALABAMABCBS DADEVILLE
13C73937MEDICARE UPIN
14000079111MEDICARE ID-TYPE UNSPECIFIEDDADEVILLE
15528701590MEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.