Active NPI
Daniel A Trejo, M.D.
- Family Medicine Physician
- Bastrop, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 14979R
- Practice address
- 430 S Vine St
Bastrop, LA 71220-4514 - Phone
- (318) 283-3970
- NPI assigned
- May 15, 2006
- Last updated
- Mar 12, 2024
- 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 | 14979R | LA | Primary |
Addresses
Primary practice location
430 S Vine St
Bastrop, LA 71220-4514
Mailing address
PO Box 1060
Bastrop, LA 71221-1060
Phone (318) 283-3920
Other practice location 1
420 Gunby Ave
Bastrop, LA 71220-4406
Phone (318) 283-3920
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
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
323 W Walnut Ave
Bastrop, LA 71220-4521
Phone (318) 283-3621
420 S Vine St
Bastrop, LA 71220-4514
Phone (318) 283-3950
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14979R | LA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morehouse Community Medical Centers, Inc. | Family Medicine | Current | Accepting new patients |
| Morehouse Community Medical Centers, Inc. | Current | Accepting new patients | |
| Heart of Hospice LLC | Family Medicine | Past | Accepting new patients |
Locations
518 Durham St
Bastrop, LA 71220
Phone (318) 556-3333
Interoperability endpoints
- daniel.trejo.1@28264.direct.athenahealth.com
- daniel.trejo.1@29430.direct.athenahealth.com
- dtrejo@yourcarecommunity.org
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Heart of Hospice, LLC | Hospice | Contracted Managing Employee | Mar 1, 2024 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Monroe, LA
- NPI 1487013421
Contracted Managing Employee
-
- Community Based Hospice Care Agency
- Covington, LA
- NPI 1689058760
Contracted Managing Employee
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Bastrop, LA
- NPI 1790966638
-
dba CommuniHealth Services
- Family Medicine Physician
- Bastrop, LA
- NPI 1053373191
-
dba CommuniHealth Services Miller Roy Clinic
- Federally Qualified Health Center (FQHC)
- Monroe, LA
- NPI 1114740438
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Columbia, LA
- NPI 1689659484
-
- General Acute Care Hospital
- Bastrop, LA
- NPI 1003898313
-
dba Allegiance Home Health of Northeast Louisiana
- Home Health Agency
- West Monroe, LA
- NPI 1437185055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1093766925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1060",
"city": "BASTROP",
"state": "LA",
"postal_code": "712211060",
"telephone_number": "318-283-3920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 S VINE ST",
"city": "BASTROP",
"state": "LA",
"postal_code": "712204514",
"telephone_number": "318-283-3970"
}
],
"practiceLocations": [
{
"address_1": "420 Gunby Ave",
"address_purpose": "LOCATION",
"city": "Bastrop",
"state": "LA",
"postal_code": "712204406",
"country_code": "US",
"telephone_number": "318-283-3920",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TREJO",
"first_name": "DANIEL",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "14979R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bastrop, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.