Daniel L Kingloff, MD

Key facts

NPI

1104821065

Entity type

Individual (NPI type 1)

Primary specialty

Orthopaedic Surgery Physician 207X00000X

License

019396 (GA)

Practice address

993C Johnson Ferry Rd NE
Ste 110
Atlanta, GA 30342-4747

Phone

(404) 257-1212

Fax

(404) 252-7092

NPI assigned

Jun 16, 2005

Sex

Male

Sole proprietor

No

Organizations & group practices 3

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.

• Active Life Health of Alpharetta LLC Physical Medicine & Rehabilitation Physician · Alpharetta, GA · NPI 1629747951
  Medicare reassignment Care Compare group NPD GA
• Active Life Health of Alpharetta LLC Durable Medical Equipment & Medical Supplies · Alpharetta, GA · NPI 1265101596
  Care Compare group NPD
• Kingloff Orthopaedics P.C. Specialist · Atlanta, GA · NPI 1407974876
  NPD Authorized official

Medicare Care Compare profile

Specialty

Orthopedic Surgery

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Active Life Health of Alpharetta LLC (5 clinicians)

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.9 of 100 (group)

Promoting interoperability

94

Improvement activities

40

Medicare participation

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 27, 2013.

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1104821065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993C JOHNSON FERRY RD NE",
            "address_2": "STE 110",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424747",
            "telephone_number": "404-257-1212",
            "fax_number": "404-252-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993C JOHNSON FERRY RD NE",
            "address_2": "STE 110",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424747",
            "telephone_number": "404-257-1212",
            "fax_number": "404-252-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGLOFF",
        "first_name": "DANIEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "019396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Atlanta, GA · Orthopaedic Surgery Physician in Georgia