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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: August 09, 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
Phone(313) 593-7240
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
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Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 CMS claims · ZIP area

Typical Medicare office-visit costs in the 48124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ARSALA BAKHTYAR M.D.
Pediatrics
18181 OAKWOOD BLVD STE 401
DEARBORN, MI 48124
Wayne County (313) 593-7240
MARIAM QURESHI MD
Pediatrics
18181 OAKWOOD BLVD STE 401
DEARBORN, MI 48124
Wayne County (313) 593-7240
ALI JAMAL BAZZI DO
Pediatrics
18181 OAKWOOD BLVD STE 401
DEARBORN, MI 48124
Wayne County (313) 593-7240
AMAL M ALGAHMI DO
Pediatrics
18181 OAKWOOD BLVD STE 401
DEARBORN, MI 48124
Wayne County (313) 593-7240

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mackenzie Fountain's NPI number?

The NPI number for Mackenzie Fountain is 1316520166. It was assigned to this individual provider in the NPPES registry on April 29, 2021.

Where is Mackenzie Fountain located?

Mackenzie Fountain practices at 18181 Oakwood Blvd Ste 401, Dearborn, MI 48124. The listed phone number is (313) 593-7240.

What is Mackenzie Fountain's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mackenzie Fountain enrolled in Medicare?

Yes. Mackenzie Fountain is registered in the Medicare PECOS enrollment system.

What insurance does Mackenzie Fountain accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Mackenzie Fountain as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mackenzie Fountain was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.