Mackenzie Fountain, DO
NPI 1316520166 · Pediatrics Physician · Dearborn, MI
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mackenzie Fountain, DO is a Pediatrics Physician provider in Dearborn, MI (NPI 1316520166).
Provider details
- NPI number
- 1316520166
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 5101027950 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 7330 N Canton Center Rd Ste 216Canton, MI 48187-1538Phone: (734) 454-8001
Registry dates
- Enumerated
- 2021-04-29
- Last updated
- 2025-08-05
- Certified
- 2025-08-05
Frequently asked questions
- What is Mackenzie Fountain's NPI number?
- Mackenzie Fountain's National Provider Identifier (NPI) is 1316520166, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mackenzie Fountain's specialty?
- Mackenzie Fountain is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Mackenzie Fountain located?
- Mackenzie Fountain's practice location on file with NPPES is 18181 Oakwood Blvd Ste 401, Dearborn, MI 48124-5031.
- What is Mackenzie Fountain's phone number?
- The practice phone number listed in the NPPES registry for Mackenzie Fountain is (313) 593-7240.
- Does Mackenzie Fountain accept Medicare?
- Mackenzie Fountain is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mackenzie Fountain's NPI active?
- Yes — Mackenzie Fountain's NPI (1316520166) is active in the NPPES registry as of the last update on 2025-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.