Daniel Lee Callaway, M.D.
Individual provider Active NPI Pediatric Hematology & Oncology Physician · Brewer, ME
NPI 1134428899 · NPPES record last updated Oct 22, 2020
Key facts
- NPI
- 1134428899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Hematology & Oncology Physician 2080P0207X
- License
- MD24051 (ME)
- Practice address
- 33 Whiting Hill Rd
Brewer, ME 04412-1021 - Phone
- (207) 973-9733
- NPI assigned
- Mar 21, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Hematology/Oncology
- Education
- University of Texas Medical School at San Antonio, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eastern Maine Medical Center
Practice addresses (Care Compare)
489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.1 of 100
- Quality
- 64.8
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 68.87
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201015002571 | ME | Practitioner - Hematology/Oncology | 5890912281 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD24051 | ME | MD | Pediatric Hematology & Oncology Physician |
| 10514 | SD | MD | Pediatric Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Maine Medical Center | Current |
Accepting new patients | |
| Eastern Maine Medical Center | Current |
Accepting new patients |
Locations
489 State St
Bangor, ME 04401
Phone (207) 973-8837
489 State St
Ste A
Bangor, ME 04401
33 Whiting Hill Rd
Brewer, ME 04412
Phone (207) 973-7478
33 Whiting Hill Rd
Ste 31
Brewer, ME 04412
Phone (207) 973-7478
43 Whiting Hill Rd
Ste 300
Brewer, ME 04412
Phone (207) 973-5000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Hematology & Oncology Physician | 2080P0207X | 10514 | SD | |
| Pediatric Hematology & Oncology Physician | 2080P0207X | LP03247 | RI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Hematology & Oncology Physician | 2080P0207X | MD24051 | ME | Yes |
Addresses
Primary practice location
33 Whiting Hill Rd
Brewer, ME 04412-1021
Mailing address
43 Whiting Hill Rd Ste 300
Brewer, ME 04412-1006
Phone (207) 973-5000
Other practice location 1
1600 W 22nd St
Sioux Falls, SD 57105-1521
Phone (401) 444-5171
Other providers in Brewer, ME
- Jennifer Rose Brown
- Brittany Bubar
- C&C Homes
- Rylee Erin Leighton Caballero
- Michael Cabral
- Alicia Camire
- Regan Card
- Angel Gaye Carey
- Tiffany A Carlisle
- Rosehannah Nicole Carmichael
All providers in Brewer, ME · Pediatric Hematology & Oncology Physician in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.