Active NPI
Darrow E Haagensen Jr., MD PHD
- Surgery Physician
- Sacramento, CA
National Provider Identifier
1174622617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 042830
- Practice address
- 7248 South Land Park Drive Suite 112
Sacramento, CA 95831 - Phone
- (916) 424-8916
- Fax
- (916) 424-8926
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 042830 | CA | Primary |
Addresses
Primary practice location
7248 South Land Park Drive Suite 112
Sacramento, CA 95831
Mailing address
7248 South Land Park Drive Suite 112
Sacramento, CA 95831
Phone (916) 424-8916
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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 |
|---|---|---|---|---|
| I20040322001220 | CA | Practitioner - General Surgery | 9739070590 | Practice locations: Sacramento, CA |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Columbia University College of Physicians and Surgeons, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7248 S Land Park Dr
Sacramento, CA 95831-3661
Phone (916) 424-8916
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042830 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hill Physicians Medical Group - PPO Program | Past | Accepting new patients | |
| Dignity Community Care | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Methodist Hospital of Sacramento
- General Acute Care Hospital
- Sacramento, CA
- NPI 1467560599
-
- Preferred Provider Organization
- San Ramon, CA
- NPI 1679011035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350518400000",
"number": "1174622617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7248 SOUTH LAND PARK DRIVE SUITE 112",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95831",
"telephone_number": "916-424-8916",
"fax_number": "916-424-8926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7248 SOUTH LAND PARK DRIVE SUITE 112",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95831",
"telephone_number": "916-424-8916",
"fax_number": "916-424-8926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAAGENSEN",
"first_name": "DARROW",
"middle_name": "E",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2012-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "042830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.