Active NPI
Daniel Yugi Patten, MD
- Family Medicine Physician
- Preston, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M11689
- Practice address
- 47 N. 1St E.
Preston, ID 83263 - Phone
- (208) 852-2900
- Fax
- (208) 852-3511
- NPI assigned
- Jun 12, 2008
- Last updated
- Jul 5, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M11689 | ID | Primary |
Addresses
Primary practice location
47 N. 1St E.
Preston, ID 83263
Mailing address
44 N 1St E
Preston, ID 83263-1326
Phone (208) 852-3662
Other practice location 1
44 N 1st E
Preston, ID 83263-1326
Phone (208) 852-3662
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M-11689 | Other | ID | MEDICAL LICENSE |
| 1245490390 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Louisiana State University School of Medicine in Shreveport, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
44 N 1St
Preston, ID 83263-1326
Phone (208) 852-0137
64 N 1St
Preston, ID 83263-1326
Phone (208) 852-3662
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M11689 | ID | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franklin County Medical Center | Past | Accepting new patients | |
| Multicare Health System | Past | Accepting new patients |
Interoperability endpoints
- daniel.patten.1@17373.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba FCMC Specialty Clinic
- Critical Access Hospital
- Preston, ID
- NPI 1548355811
-
dba FCMC Medical Clinic
- Rural Health Clinic/Center
- Preston, ID
- NPI 1144663543
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba FCMC Specialty Clinic
- Critical Access Hospital
- Preston, ID
- NPI 1548355811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530748800000",
"number": "1245490390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 N 1ST E",
"city": "PRESTON",
"state": "ID",
"postal_code": "832631326",
"telephone_number": "208-852-3662",
"fax_number": "208-852-1295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 N. 1ST E.",
"city": "PRESTON",
"state": "ID",
"postal_code": "83263",
"telephone_number": "208-852-2900",
"fax_number": "208-852-3511"
}
],
"practiceLocations": [
{
"address_1": "44 N 1st E",
"address_purpose": "LOCATION",
"city": "Preston",
"state": "ID",
"postal_code": "832631326",
"country_code": "US",
"telephone_number": "208-852-3662",
"fax_number": "208-852-1295",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATTEN",
"first_name": "DANIEL",
"middle_name": "YUGI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-12",
"last_updated": "2018-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "M11689",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "M-11689",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1245490390",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Preston, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.