Individual provider Active NPI

Valentenia Daugherty, D.P.M.

  • Podiatrist
  • Independence, MO
National Provider Identifier
1144258062
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000658 Issued in MO
Practice address
18921 G E Valley View Pkwy
#226
Independence, MO 64055-7012
Phone
(816) 795-9098
Fax
(816) 795-7156
NPI assigned
Jun 29, 2006
Last updated
Jun 11, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 000658 MO Primary

Addresses

Primary practice location

18921 G E Valley View Pkwy
#226
Independence, MO 64055-7012

Mailing address

18921 G E Valley View Pkwy
#226
Independence, MO 64055-7024
Phone (816) 795-9098

Other identifiers 3

IdentifierTypeStateIssuer
1144258062OtherNPI
18016015OtherMOBCBS PROVIDER NUMBER
303158406MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051220000590 MO Practitioner - Podiatry 9537181458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Podiatry Group PCGroup PAC ID 3971412677, 131 clinicians

Practice addresses (Care Compare)

1 McKnight PL
Clayton, MO 63124-2229
Phone (314) 993-0111

Merit-based Incentive Payment System (MIPS)

Final score
87.82 of 100Reported as group
Quality
72.99
Improvement activities
40
Cost
75.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue3285
Removal or shaving of skin growth289

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Podiatry Group PC Podiatrist CurrentSince Mar 1, 2019 Accepting new patients
Preferred Podiatry Group PC Podiatrist CurrentSince Mar 1, 2019 Accepting new patients
Integrated Health Providers LLC Past Accepting new patients
Brookside Health Services, Inc. PastSince Aug 30, 2010 Accepting new patients

Locations

1550 Villa Dr
De Soto, MO 63020
Phone (636) 586-6559

3002 John Duffy Dr
Joplin, MO 64804
Phone (417) 553-9767

3000 NE 64th St
Kansas City, MO 64119
Phone (816) 393-6762

1 McKnight Pl
Saint Louis, MO 63124
Phone (314) 372-2283

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1144258062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18921 G E VALLEY VIEW PKWY",
            "address_2": "#226",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640557024",
            "telephone_number": "816-795-9098",
            "fax_number": "816-795-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18921 G E VALLEY VIEW PKWY",
            "address_2": "#226",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640557012",
            "telephone_number": "816-795-9098",
            "fax_number": "816-795-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUGHERTY",
        "first_name": "VALENTENIA",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MO",
            "license": "000658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1144258062",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "18016015",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303158406",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.