Individual provider Active NPI

Dale Alton Pippin, MD

  • Internal Medicine Physician
  • Navarre, FL
National Provider Identifier
1104403898
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
168611 Issued in FL
Practice address
7456 Navarre Pkwy
Navarre, FL 32566-8192
Phone
(850) 626-5459
NPI assigned
Mar 27, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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 168611 FL Primary

Addresses

Primary practice location

7456 Navarre Pkwy
Navarre, FL 32566-8192

Mailing address

7456 Navarre Pkwy
Navarre, FL 32566-8192
Phone (850) 626-5459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241022002576 FL Practitioner - Internal Medicine 0648676585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Carolina School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Rosa Hma Physician Management, LLCGroup PAC ID 1658478532, 51 clinicians

Practice addresses (Care Compare)

7456 Navarre Pkwy
Navarre, FL 32566-4556
Phone (850) 626-5070

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Shalimar, FL, CCN 107240
  • Gulf Breeze Hospital Hospital, Gulf Breeze, FL, CCN 100266
  • Santa Rosa Medical Center Hospital, Milton, FL, CCN 100124
  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093
  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
168611FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Rosa Hma Physician Management, LLC Internal Medicine CurrentSince Aug 24, 2024 Accepting new patients
Santa Rosa Hma Physician Management LLC CurrentSince Aug 18, 2024 Accepting new patients

Locations

6072 Doctors Park
Milton, FL 32570
Phone (850) 626-5447

7456 Navarre Pkwy
Navarre, FL 32566
Phone (850) 626-5070

4225 Woodbine Rd
Ste C
Pace, FL 32571
Phone (850) 626-2020

Interoperability endpoints

  • Direct secure messaging: dale.pippin.1@4692.direct.athenahealth.com
  • Direct secure messaging: dale.pippin@hca4.eclinicaldirectplus.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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1616803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1104403898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7456 NAVARRE PKWY",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325668192",
            "telephone_number": "850-626-5459",
            "fax_number": "727-819-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7456 NAVARRE PKWY",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325668192",
            "telephone_number": "850-626-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPPIN",
        "first_name": "DALE",
        "middle_name": "ALTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-27",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "168611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Navarre, FL

Sources for this page

Verify at the official NPI Registry.