NPIMap

Individual provider Active NPI

Patrick W Daly, M.D.

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1063480853
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G4949 Issued in TX
Practice address
3629 Fairmount St
Dallas, TX 75219-4710
Phone
(214) 526-3566
Fax
(214) 522-8619
NPI assigned
Mar 9, 2006
Last updated
Jul 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G4949 TX Primary

Addresses

Primary practice location

3629 Fairmount St
Dallas, TX 75219-4710

Mailing address

3629 Fairmount St
Dallas, TX 75219-4710
Phone (214) 526-3566

Other identifiers 2

IdentifierTypeStateIssuer
752317753OtherTXTAXID
0354961-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100802000032 TX Practitioner - Internal Medicine 4082747738 Reassigns benefits to 2 organizations
Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Texas Tech University Health Science Center School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1501 N Erma Ave
Presidio County Medical Clinic
Presidio, TX 79845-4464
Phone (432) 229-3030

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G4949TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Preventative Care Health Services, Inc. CurrentSince Aug 25, 2021 Accepting new patients
Preventative Care Health Services, Inc CurrentSince Aug 25, 2021 Accepting new patients
Medhealth CurrentSince Aug 19, 2019 Accepting new patients
Medhealth Internal Medicine CurrentSince Aug 19, 2019 Accepting new patients
Preventative Care Health Service, Inc. Past Accepting new patients

Locations

1605 N State Highway 118
Alpine, TX 79830
Phone 4328374555206

1707 N 4th St
Alpine, TX 79830
Phone (432) 837-4555

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

3629 Fairmount St
Dallas, TX 75219
Phone (214) 522-8619

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: patrick.daly.p1@direct.preventativehealth.nextgenshare.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 5

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 6

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1063480853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3629 FAIRMOUNT ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194710",
            "telephone_number": "214-526-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3629 FAIRMOUNT ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194710",
            "telephone_number": "214-526-3566",
            "fax_number": "214-522-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALY",
        "first_name": "PATRICK",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G4949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXID",
            "identifier": "752317753",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0354961-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.