Active NPI
Dale Moreland Maccurdy, M.D.
- Diagnostic Radiology Physician
- Slidell, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 014766
- Practice address
- 1001 Gause Blvd
Slidell, LA 70458-2939 - Phone
- (985) 646-0691
- Fax
- (985) 646-0750
- NPI assigned
- Feb 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
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.
-
- Diagnostic Radiology Physician
- Covington, LA
- NPI 1336192863
Diagnostic Radiology, LA
-
- Diagnostic Radiology Physician
- Alexandria, LA
- NPI 1033215710
Diagnostic Radiology, LA, MS
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Baton Rouge, LA
- NPI 1942393699
-
- Diagnostic Radiology Physician
- Slidell, LA
- NPI 1083662746
Diagnostic Radiology
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- La Place, LA
- NPI 1609265792
-
- Neurology Physician
- Lafayette, LA
- NPI 1568492841
-
- Radiology Clinic/Center
- Alexandria, LA
- NPI 1093738478
-
- Diagnostic Radiology Physician
- Lake Charles, LA
- NPI 1629174339
Diagnostic Radiology
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Louisiana State University School of Medicine in New Orleans, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Regional Radiology, LLC
Practice addresses (Care Compare)
1202 S Tyler St
Covington, LA 70433-2330
Phone (985) 898-4000
Hospital & facility affiliations
- Touro Infirmary
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060928000174 | LA | Practitioner - Diagnostic Radiology | 8022916972 | Reassigns benefits to 2 organizations |
| I20111114000687 | MS | Practitioner - Diagnostic Radiology | 8022916972 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014766 | LA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Associates of Southwest Louisiana | Diagnostic Radiology | Current | Accepting new patients |
| Northlake Radiology Consultants, Apmc | Diagnostic Radiology | Current | Accepting new patients |
| Bluebonnet Imaging Center, LLC | Current | Accepting new patients | |
| River Bend Imaging LLC | Current | Accepting new patients | |
| Regional Radiology, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Lafayette Health Ventures, Inc | Past | Accepting new patients | |
| Louisiana Pet Imaging of Alexandria, LLC | Past | Accepting new patients | |
| Second Avenue MRI LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations (25 of 44)
3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917
3311 Prescott Rd
Ste 4001
Alexandria, LA 71301
5419 Jackson Street Ext
#A
Alexandria, LA 71303
Phone (318) 441-2226
211 4th St
Alexandria, LA 71301
Phone (318) 473-3000
3425 North Blvd
Ste A
Alexandria, LA 71301
Phone (318) 473-1921
221 Windermere Blvd
Alexandria, LA 71303
Phone (318) 427-3300
224 Pecan Park Ave
Alexandria, LA 71303
Phone (318) 427-7900
651 N Bolton Ave
Alexandria, LA 71301
Phone (318) 443-3511
301 4th St
Alexandria, LA 71301
Phone (318) 441-1030
5413 Jackson Street Ext
Alexandria, LA 71303
Phone (318) 442-8399
3704 North Blvd
Alexandria, LA 71301
Phone (318) 448-8211
3311 Prescott Rd
Ste 100
Alexandria, LA 71301
Phone (318) 442-3384
433 Plaza St
Bogalusa, LA 70427
Phone (985) 730-6700
1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743
16282 Highway 1085
Covington, LA 70433
Phone (985) 898-4140
600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100
82525 Highway 25
Folsom, LA 70437
Phone (985) 839-9895
187 Ninth St
Jena, LA 71342
Phone (318) 992-9200
1322 Elton Rd
Ste F
Jennings, LA 70546
Phone (337) 824-8868
409 W Pont des Mouton Rd
Lafayette, LA 70507
2770 3rd Ave
Ste 125
Lake Charles, LA 70601
Phone (337) 494-2674
1750 Ryan St
Lake Charles, LA 70601
Phone (337) 433-3001
1747 Imperial Blvd
Ste B
Lake Charles, LA 70605
Phone (337) 312-8284
600 Bayou Pines East Dr
Ste A
Lake Charles, LA 70601
Phone (337) 493-5310
524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 014766 | LA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1001 Gause Blvd
Slidell, LA 70458-2939
Mailing address
PO Box 2710
Slidell, LA 70459-2710
Phone (985) 646-0691
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00018026 | Medicaid | MS | |
| 1194387 | Medicaid | LA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104892363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2710",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704592710",
"telephone_number": "985-646-0691",
"fax_number": "985-646-0750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 GAUSE BLVD",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704582939",
"telephone_number": "985-646-0691",
"fax_number": "985-646-0750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACCURDY",
"first_name": "DALE",
"middle_name": "MORELAND",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "LA",
"license": "014766",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00018026",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1194387",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.