Individual provider Active NPI

David Keith Dunigan, M.D.

  • Diagnostic Radiology Physician
  • Indianola, MS
National Provider Identifier
1184663106
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
10267 Issued in MS
Practice address
121 E Baker St
Indianola, MS 38751-2450
Phone
(662) 887-5235
NPI assigned
Jun 5, 2006
Last updated
Apr 29, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 10267 MS Primary

Addresses

Primary practice location

121 E Baker St
Indianola, MS 38751-2450

Mailing address

314 Pointe Dr
Starkville, MS 39759-6224
Phone (662) 324-9732

Other identifiers 3

IdentifierTypeStateIssuer
02226091MedicaidMS
9937334MedicaidAL
P00336989OtherMSRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10267MSMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Sunflower County Hospital Current Accepting new patients
Golden Triangle Radiology, PA Past Accepting new patients
Preferred Imaging, LLC Past Accepting new patients
GBM Enterprises, Inc. Past Accepting new patients
Golden Triangle Radiology Past Accepting new patients
North Georgia Radiology PastSince Jun 1, 2013 Accepting new patients

Locations

121 E Baker St
Indianola, MS 38751
Phone (601) 887-3113

Organizations & group practices 6

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398729600000",
    "number": "1184663106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 POINTE DR",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397596224",
            "telephone_number": "662-324-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E BAKER ST",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387512450",
            "telephone_number": "662-887-5235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNIGAN",
        "first_name": "DAVID",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2014-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MS",
            "license": "10267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02226091",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9937334",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00336989",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianola, MS

Sources for this page

Verify at the official NPI Registry.