Individual provider Active NPI

Dametria A Sinegal-Daniel, MD

  • Family Medicine Physician
  • Pineville, LA
National Provider Identifier
1144431685
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.203298 Issued in LA
Practice address
352 Hospital Blvd
Pineville, LA 71360-6903
Phone
(318) 448-0811
Fax
(318) 473-1435
NPI assigned
May 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.203298 LA Primary
Emergency Medicine Physician 207P00000X MD.203298 LA

Addresses

Primary practice location

352 Hospital Blvd
Pineville, LA 71360-6903

Mailing address

352 Hospital Blvd
Pineville, LA 71360-6903
Phone (318) 448-0811

Other identifiers 1

IdentifierTypeStateIssuer
1062057MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100812000546 LA Practitioner - Family Practice 4385778372 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.203298LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lsumc-S Family Practice Medical Family Medicine CurrentSince Nov 13, 2014 Accepting new patients
Abbeville Emergency Group LLC Emergency Medicine CurrentSince May 28, 2016 Accepting new patients
Nes Louisiana Inc Emergency Medicine PastSince Jul 10, 2022 Accepting new patients

Locations

118 N Hospital Dr
Abbeville, LA 70510
Phone (337) 893-5466

821 Elliott St
Alexandria, LA 71301
Phone (318) 441-1030

301 4th St
Ste A
Alexandria, LA 71301
Phone (318) 441-1030

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1144431685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 HOSPITAL BLVD",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713606903",
            "telephone_number": "318-448-0811",
            "fax_number": "318-473-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 HOSPITAL BLVD",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713606903",
            "telephone_number": "318-448-0811",
            "fax_number": "318-473-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINEGAL-DANIEL",
        "first_name": "DAMETRIA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.203298",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "MD.203298",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1062057",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, LA

Sources for this page

Verify at the official NPI Registry.