Individual provider Active NPI

Dante Caleb-Samuel Dali, DO, FACS

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Springfield, MO
National Provider Identifier
1124468517
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
2022037472 Issued in MO
Practice address
1235 E Cherokee St
Springfield, MO 65804-2203
Phone
(417) 820-3960
NPI assigned
Jun 28, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X DO-05518 IA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 2022037472 MO Primary
Surgery Physician 208600000X R-9839 IA

Addresses

Primary practice location

1235 E Cherokee St
Springfield, MO 65804-2203

Mailing address

1235 E Cherokee St
Springfield, MO 65804-2203
Phone (641) 494-5200

Other practice location 1

1111 6th Ave
Des Moines, IA 50314-2613
Phone (515) 643-2261

Other practice location 2

802 N Riverside Rd Ste 210
Saint Joseph, MO 64507-2509
Phone (816) 271-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221014002447 MO Practitioner - Thoracic Surgery 9133362585 Reassigns benefits to 4 organizations
I20251210003274 OH Practitioner - Thoracic Surgery 9133362585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Joplin LLCGroup PAC ID 0547300196, 288 clinicians
Aultman Deuble Heart and Vascular Hospital, LLCGroup PAC ID 1850726126, 109 clinicians
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians
Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

100 Mercy Way
310 Mercy Clinic Joplin Cardiac Thoraci
Joplin, MO 64804-4524
Phone (417) 556-8600

2600 6TH St SW
Canton, OH 44710-1702
Phone (330) 454-8076

448 State Hwy 248
Suite 160
Branson, MO 65616-3725
Phone (417) 213-4696

5202 Faraon St
Suite a
Saint Joseph, MO 64506-3840
Phone (816) 271-1067

5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-3500

901 Heartland Rd
Saint Joseph, MO 64506-6201

Hospital & facility affiliations

  • Aultman Health Care in Your Home Home health agency, Canton, OH, CCN 367290
  • Aultman Hospital Hospital, Canton, OH, CCN 360084
  • Mercy Hospital Springfield Hospital, Springfield, MO, CCN 260065
  • Mosaic Life Care at St Joseph Hospital, Saint Joseph, MO, CCN 260006
  • Mercy Hospital Joplin Hospital, Joplin, MO, CCN 260001
  • Mercy St Francis Hospital Hospital, Mountain View, MO, CCN 261335

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R-9839IAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Regional Medical Center Surgery CurrentSince Aug 7, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Oct 24, 2022 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Oct 24, 2022 Accepting new patients
Heartland Regional Medical Center CurrentSince Aug 7, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Oct 24, 2022 Accepting new patients
Heartland Regional Medical Center Current Accepting new patients
Aultman Deuble Heart & Vascular Hospital, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Jan 5, 2026 Accepting new patients
Mercy Clinic Joplin LLC Surgery CurrentSince Sep 9, 2024 Accepting new patients
Mercy Hospital Springfield Past Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Ohio Physician Professional Corporation Surgery Past Accepting new patients
Mercy Medical Services Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
Cardiovascular Consultants, Inc. Past Accepting new patients

Locations

448 State Highway 248
Ste 160
Branson, MO 65616
Phone (417) 213-4696

100 Mercy Way
Ste 310
Joplin, MO 64804

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

802 N Riverside Rd
Ste 210
Saint Joseph, MO 64507
Phone (816) 271-1225

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1213

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

2600 6th St SW
Ste 800A2
Canton, OH 44710

2600 6th St SW
Ste A2800
Canton, OH 44710

Interoperability endpoints

  • Direct secure messaging: ddali1320545@directc.mercy.net

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1124468517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 E CHEROKEE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042203",
            "telephone_number": "641-494-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 E CHEROKEE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042203",
            "telephone_number": "417-820-3960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503142613",
            "country_code": "US",
            "telephone_number": "515-643-2261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "802 N Riverside Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645072509",
            "country_code": "US",
            "telephone_number": "816-271-6200",
            "fax_number": "816-271-6749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALI",
        "first_name": "DANTE",
        "middle_name": "CALEB-SAMUEL",
        "name_prefix": "Dr.",
        "credential": "DO, FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-28",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IA",
            "license": "DO-05518",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MO",
            "license": "2022037472",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "R-9839",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.