Active NPI
Daniel J Herman Jr., M.D.
- Family Medicine Physician
- Vincennes, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01042927A
- Practice address
- 406 N 1St St
Vincennes, IN 47591-1340 - Phone
- (812) 885-0524
- Fax
- (812) 885-0523
- NPI assigned
- Mar 10, 2006
- 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 | 01042927A | IN | Primary |
Addresses
Primary practice location
406 N 1St St
Vincennes, IN 47591-1340
Mailing address
406 N 1St St
Vincennes, IN 47591-1340
Phone (812) 885-0524
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100338180A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090220000018 | IN | Practitioner - Family Practice | 9335204692 | 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 |
|---|---|---|---|
| 01042927A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Hospital | Current | Accepting new patients | |
| Good Samaritan Hospital Physician Services, Inc | Family Medicine | Current | Accepting new patients |
| Good Samaritan Hospital | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Good Samaritan Hospital Physician Services Inc. | Past | Accepting new patients |
Locations
520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280
406 N 1st St
Ste D
Vincennes, IN 47591
Phone (812) 885-0524
1160 E Saint Clair St
Vincennes, IN 47591
Phone (812) 882-1064
406 N 1st St
Vincennes, IN 47591
Phone (812) 882-1106
1813 Willow St
Ste 3
Vincennes, IN 47591
Phone (812) 885-8941
Interoperability endpoints
- dherman120905@direct.deaconess.com
Organizations & group practices 5
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.
-
- Hospitalist Physician
- Vincennes, IN
- NPI 1649432071
Family Medicine, IN
-
- Rural Health Clinic/Center
- Vincennes, IN
- NPI 1760145973
-
- Rural Health Clinic/Center
- Vincennes, IN
- NPI 1063005601
-
- Radiation Oncology Physician
- Vincennes, IN
- NPI 1629050646
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346976000000",
"number": "1124096672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 N 1ST ST",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475911340",
"telephone_number": "812-885-0524",
"fax_number": "812-885-0523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 N 1ST ST",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475911340",
"telephone_number": "812-885-0524",
"fax_number": "812-885-0523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMAN",
"first_name": "DANIEL",
"middle_name": "J",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-10",
"last_updated": "2012-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01042927A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100338180A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vincennes, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.