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.

IndividualActiveAccepts Medicare

Mackenzie Fountain, DO

NPI 1316520166 · Pediatrics Physician · Dearborn, MI

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)

Practice location

18181 Oakwood Blvd Ste 401

Dearborn, MI 48124-5031

Phone: (313) 593-7240

Fax: (313) 593-8899

Street-level locationGet directions

More MI providers

Mailing address

26901 Beaumont Blvd Ste 3d

Southfield, MI 48033-3849

Specialties & taxonomies

Pediatrics PhysicianPrimary208000000XLicense 5101027950 (MI)
Allopathic & Osteopathic Physicians

Additional practice locations (1)

7330 N Canton Center Rd Ste 216
Canton, MI 48187-1538
Phone: (734) 454-8001

Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Established profile(68/100 index)

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.

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.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Additional practice locations (1)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Additional practice locations (1)

Profile Score

Frequently asked questions