Active NPI
Daniel L. Payne, MD
- Family Medicine Physician
- Bossier City, LA
National Provider Identifier
1073557542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 021626
- Practice address
- 2300 Hospital Dr
Suite 200
Bossier City, LA 71111-2394 - Phone
- (318) 212-7830
- Fax
- (318) 212-7835
- NPI assigned
- Jun 15, 2006
- Last updated
- Dec 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 021626 | LA | Primary |
Addresses
Primary practice location
2300 Hospital Dr
Suite 200
Bossier City, LA 71111-2394
Mailing address
2300 Hospital Dr
Suite 200
Bossier City, LA 71111-2394
Phone (318) 212-7830
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1681750 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Louisiana State University School of Medicine in Shreveport, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2300 Hospital Dr
Suite 200
Bossier City, LA 71111-2169
Phone (318) 212-7830
Hospital & facility affiliations
- Primestar Home Health of Nwla, Inc
- Elara Caring
- Amedisys Home Health
- Stat Home Health of Northwest Louisiana, LLC
- Willis Knighton Medical Center
- Christus Shreveport-Bossier Health System
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.53 of 100
- Quality
- 81.42
- Promoting interoperability
- 94.6
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 25 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WK Louisiana Family Practice | Family Medicine | Current | Accepting new patients |
| WK Urgent Care Center - Bossier | Family Medicine | Past | Accepting new patients |
Locations
2300 Hospital Dr
Ste 200
Bossier City, LA 71111
Phone (318) 212-7830
Interoperability endpoints
- dpayne@direct.wkhs.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Bossier City, LA
- NPI 1164464889
-
- Family Medicine Physician
- Bossier City, LA
- NPI 1982640884
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Christus Shreveport-Bossier Health System
- General Acute Care Hospital
- Shreveport, LA
- NPI 1417950106
-
- Home Health Agency
- Minden, LA
- NPI 1952350456
-
- Home Health Agency
- Sibley, LA
- NPI 1508898008
-
dba WK Bossier Health Center
- General Acute Care Hospital
- Bossier City, LA
- NPI 1003968579
-
dba Willis Knighton South Hospital
- General Acute Care Hospital
- Shreveport, LA
- NPI 1124170691
-
dba WK Pierremont Health Center
- General Acute Care Hospital
- Shreveport, LA
- NPI 1275685539
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1568461572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198800000000",
"number": "1073557542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 HOSPITAL DR",
"address_2": "SUITE 200",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711112394",
"telephone_number": "318-212-7830",
"fax_number": "318-212-7835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 HOSPITAL DR",
"address_2": "SUITE 200",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711112394",
"telephone_number": "318-212-7830",
"fax_number": "318-212-7835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "DANIEL",
"middle_name": "L.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2007-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "021626",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1681750",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bossier City, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.