NPIMap

Individual provider Active NPI

Daniel Fendrich McCarthy III, MD

  • Anesthesiology Physician
  • Washington, IN
National Provider Identifier
1023082419
Registry record updated Jan 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01042187A Issued in IN
Practice address
1314 E Walnut St
Washington, IN 47501-2120
Phone
(812) 254-2760
Fax
(812) 254-8636
NPI assigned
Feb 14, 2006
Last updated
Jan 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01042187A IN Primary

Addresses

Primary practice location

1314 E Walnut St
Washington, IN 47501-2120

Mailing address

PO Box 3276
Evansville, IN 47731-3276
Phone (812) 473-0181

Other identifiers 3

IdentifierTypeStateIssuer
050052715OtherINRAILROAD MEDICARE
000000190470OtherINANTHEM
200059720MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address danielmccarthy@dchpm.allscriptsdirect.net Direct
Direct Messaging Address danielmccarthy@dchpm.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111213000366 IN Practitioner - Anesthesiology 2668569229 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daviess County HospitalGroup PAC ID 1557271665, shared by 34 NPIs, 67 clinicians

Practice addresses (Care Compare)

1314 E Walnut St
Washington, IN 47501-2860

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01042187AINMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Daviess County Hospital Current Accepting new patients
Daviess County Hospital Current Accepting new patients
Daviess County Hospital CurrentSince Feb 1, 2001 Accepting new patients
Daviess County Hospital Anesthesiology CurrentSince Jun 1, 2019 Accepting new patients
Daviess County Hospital CurrentSince Feb 1, 2001 Accepting new patients
Sutton Medical Services, LLC Past Accepting new patients

Locations

1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250

1314 Grand Ave
Washington, IN 47501
Phone (812) 254-4515

1402 Grand Ave
Washington, IN 47501
Phone (812) 254-2250

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Daviess Community HospitalWashington, IN, CCN 15T061 Hospital Corporate Director Jun 18, 2013
Daviess County HospitalWashington, IN, CCN 151553 Hospice Corporate Director Jun 18, 2013
DCH Health PavilionWashington, IN, CCN 158501 Rural health clinic Corporate Director Apr 1, 2010
Grand Avenue PediatricsWashington, IN, CCN 158503 Rural health clinic Corporate Director Oct 13, 2014

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609545600000",
    "number": "1023082419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3276",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477313276",
            "telephone_number": "812-473-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 E WALNUT ST",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475012120",
            "telephone_number": "812-254-2760",
            "fax_number": "812-254-8636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "DANIEL",
        "middle_name": "FENDRICH",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2021-01-02",
        "certification_date": "2021-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01042187A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050052715",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000190470",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200059720",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "danielmccarthy@dchpm.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1314 E Walnut St",
            "city": "Washington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "475012120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "danielmccarthy@dchpm.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1314 E Walnut St",
            "city": "Washington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "475012120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, IN

Sources for this page

Verify at the official NPI Registry.