Individual provider Active NPI

James P Dailey, M.D.

  • Ophthalmology Physician
  • Erie, PA
National Provider Identifier
1194720714
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD041458L Issued in PA
Practice address
300 State St
Ste 201
Erie, PA 16507-1429
Phone
(814) 456-4241
Fax
(814) 453-3354
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X MD041458L PA
Ophthalmology Physician 207W00000X MD041458L PA Primary

Addresses

Primary practice location

300 State St
Ste 201
Erie, PA 16507-1429

Mailing address

300 State St
Ste 201
Erie, PA 16507-1429
Phone (814) 456-4241

Other identifiers 2

IdentifierTypeStateIssuer
0012512200002MedicaidPA
679918OtherPAHIGHMARK BCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jpdailey@erieretinal.intellechartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20101109001164 PA Practitioner - Ophthalmology 6901945997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erie Retinal Surgery, Inc.Group PAC ID 0941286595, 9 clinicians

Practice addresses (Care Compare)

300 State St
Erie, PA 16507-1427
Phone (814) 456-4241

Merit-based Incentive Payment System (MIPS)

Final score
98.98 of 100Reported as group
Quality
97.97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD041458LPAMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Erie Retinal Surgery, Inc. Ophthalmology CurrentSince Sep 4, 1991 Accepting new patients

Locations

300 State St
Ste 200A
Erie, PA 16507
Phone (814) 456-4241

300 State St
Ste 201
Erie, PA 16507
Phone (814) 456-4241

Interoperability endpoints

  • Direct secure messaging: jpdailey@erieretinal.intellechartdirect.net
  • Direct secure messaging: jdailey@erieretinal.intellechartdirect.net

Organizations & group practices 1

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1194720714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STATE ST",
            "address_2": "STE 201",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071429",
            "telephone_number": "814-456-4241",
            "fax_number": "814-453-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STATE ST",
            "address_2": "STE 201",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071429",
            "telephone_number": "814-456-4241",
            "fax_number": "814-453-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAILEY",
        "first_name": "JAMES",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "PA",
            "license": "MD041458L",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD041458L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012512200002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS",
            "identifier": "679918",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpdailey@erieretinal.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "300 State St",
            "address_2": "Ste 201",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165071429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.