Daryl Foster Daugherty, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

01039851A Issued in IN

Practice address

8424 Naab Rd
#3-J
Indianapolis, IN 46260-1975

Phone

(317) 872-7396

Fax

(317) 879-8328

NPI assigned

Aug 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: daryldaugherty@ng.allscriptsdirect.net

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.

• Northside Gastroenterology Endoscopy Center LLC

  • Ambulatory Surgical Clinic/Center
  • Indianapolis, IN
  • NPI 1659344133
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1104828722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8424 NAAB RD",
            "address_2": "#3-J",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601975",
            "telephone_number": "317-872-7396",
            "fax_number": "317-879-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8424 NAAB RD",
            "address_2": "#3-J",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601975",
            "telephone_number": "317-872-7396",
            "fax_number": "317-879-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUGHERTY",
        "first_name": "DARYL",
        "middle_name": "FOSTER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01039851A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Alexandra Dasilva, RDN, LDN
• Jacob Daswani
• Jill Daubenspeck, M.S., CCC-SLP
• Waldemar Daudt Polido, DDS, MS, PHD
• Alexander Patrick Daugherty, MD
• Jarred Daugherty, PHARMD
• Jennifer Daugherty, PHARMD
• Kara L Daugherty, MSW
• Katherine Joanne Daugherty, LMFT
• Laura Kathleen Daugherty, NP

• Gastroenterology Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Gastroenterology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.