Individual provider Active NPI

Daniel Mongeon

  • Emergency Medicine Physician
  • Buffalo, NY
National Provider Identifier
1073133260
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
H0100010 Issued in MD
Practice address
77 Goodell St Ste 340
Buffalo, NY 14203-1243
Phone
(716) 645-9707
NPI assigned
Apr 17, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X H0100010 MD Primary

Addresses

Primary practice location

77 Goodell St Ste 340
Buffalo, NY 14203-1243

Mailing address

77 Goodell St Ste 340
Buffalo, NY 14203-1243
Phone (716) 645-9707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV, MD, DE4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20230628000911 VA Practitioner - Emergency Medicine 1052779709 Reassigns benefits to 1 organization
I20240507001657 WV Practitioner - Emergency Medicine 1052779709 Reassigns benefits to 3 organizations
I20250227002895 MD Practitioner - Emergency Medicine 1052779709 Reassigns benefits to 1 organization
I20250227002992 DE Practitioner - Emergency Medicine 1052779709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Care Emergency Physicians LLCGroup PAC ID 8022468057, shared by 2 NPIs, 70 clinicians

Practice addresses (Care Compare)

106 Bow St
Elkton, MD 21921-5544
Phone (410) 398-4000

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 733-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4258WVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Shenandoah Memorial Hospital, Inc. CurrentSince Feb 1, 2024 Accepting new patients
War Memorial Hospital, Inc. CurrentSince Mar 25, 2024 Accepting new patients
Christiana Care Emergency Physicians LLC Emergency Medicine CurrentSince Dec 22, 2024 Accepting new patients
Shenandoah Memorial Hospital, Inc. CurrentSince Feb 1, 2024 Accepting new patients
War Memorial Hospital, Inc. CurrentSince Mar 25, 2024 Accepting new patients
Hampshire Memorial Hospital, Inc. CurrentSince Mar 25, 2024 Accepting new patients
Christiana Care Emergency Physicians LLC Emergency Medicine CurrentSince Dec 22, 2024 Accepting new patients
War Memorial Hospital Inc Current Accepting new patients
Hampshire Memorial Hospital, Inc. CurrentSince Mar 25, 2024 Accepting new patients

Locations

621 Middletown Odessa Rd
Middletown, DE 19709
Phone (302) 203-1300

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

220 Campus Blvd
Ste 210
Winchester, VA 22601

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

240 Shenandoah St
Woodstock, VA 22664
Phone (540) 459-2808

1 Healthy Way
Berkeley Springs, WV 25411
Phone (304) 258-1234

329 Sunrise Blvd
Romney, WV 26757
Phone (304) 822-4932

363 Sunrise Blvd
Romney, WV 26757
Phone (304) 822-4561

Interoperability endpoints

  • Direct secure messaging: dmongeon1206820@valleyhealth.direct-ci.com

Organizations & group practices 9

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

Hospital & facility affiliations 3

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": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1073133260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 GOODELL ST STE 340",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031243",
            "telephone_number": "716-645-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 GOODELL ST STE 340",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031243",
            "telephone_number": "716-645-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONGEON",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-17",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "H0100010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.