MACKENZIE ROBERT FOUNTAIN DO
NPI 1316520166
Pediatrics in Dearborn, MI

Active since April 29, 2021PECOS Enrolled
18181 OAKWOOD BLVD STE 401, DEARBORN, MI 48124(313) 593-7240(313) 593-8899 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 5, 2025, Jul 29, 2024, Jul 22, 2024 and 2 more (5 updates tracked since 2021).

About Mackenzie Robert Fountain Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MACKENZIE ROBERT FOUNTAIN DO (NPI 1316520166) is an individual pediatrics provider in Dearborn, Michigan, licensed in Michigan (5101027950) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Canton.

NPPES Registry Identity

NPI1316520166
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMACKENZIE ROBERT FOUNTAINCredential: DO
Location Address18181 OAKWOOD BLVD STE 401Dearborn, MI 48124-5031
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849
Fax(313) 593-8899
Sole ProprietorNo
Enumeration DateApril 29, 2021
Last NPPES UpdateAugust 5, 20255 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
NPI 1316520166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in MI · 5101027950
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

18181 OAKWOOD BLVD STE 401, Dearborn, MI 48124

Secondary Practice Location 1

Location 17330 N Canton Center Rd Ste 216Canton, MI 48187-1538 · Phone (734) 454-8001

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mackenzie Robert Fountain Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 48124 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $90.76
  • Minimum New Patient Price $58.04
  • Maximum New Patient Price $177.36
  • Average New Patient Copayment $22.69
  • Minimum New Patient Copayment $14.51
  • Maximum New Patient Copayment $44.34

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $102.35
  • Minimum Established Patient Price $18.32
  • Maximum Established Patient Price $143.49
  • Average Established Patient Copayment $25.58
  • Minimum Established Patient Copayment $4.58
  • Maximum Established Patient Copayment $35.87

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Pediatrics
18181 OAKWOOD BLVD STE 401
DEARBORN, MI 48124
Pediatrics
18181 OAKWOOD BLVD STE 401
DEARBORN, MI 48124
Pediatrics
18181 OAKWOOD BLVD STE 401
DEARBORN, MI 48124
Pediatrics
18181 OAKWOOD BLVD STE 401
DEARBORN, MI 48124

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316520166, enumerated as an "individual" on April 29, 2021.

The provider is located at 18181 OAKWOOD BLVD STE 401 DEARBORN, MI 48124 and the phone number is (313) 593-7240.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.