Individual provider Active NPI

Daniel Hettel, MD

  • Urology Physician
  • Ashland, KY
National Provider Identifier
1285124636
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
59148 Issued in KY
Practice address
336 29TH St Ste 101
Ashland, KY 41101-1976
Phone
(606) 324-4404
NPI assigned
May 11, 2018
Last updated
Oct 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 59148 KY Primary

Addresses

Primary practice location

336 29TH St Ste 101
Ashland, KY 41101-1976

Mailing address

336 29TH St Ste 101
Ashland, KY 41101-1976
Phone (606) 324-4404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20240821004904 KY Practitioner - Urology 9638425564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Therapy and Health Centers IncGroup PAC ID 7416859574, shared by 6 NPIs, 263 clinicians

Practice addresses (Care Compare)

2400 13TH St
Ashland, KY 41102-4510
Phone (606) 329-0910

336 29TH St
Suite 100
Ashland, KY 41101-1900
Phone (606) 326-4404

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.04 of 100Reported as group
Quality
60.55
Promoting interoperability
100
Improvement activities
40
Cost
78.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Daughters Medical Specialties Inc CurrentSince Jul 29, 2024 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Jul 29, 2024 Accepting new patients
Kings Daughters Medical Specialties Inc Single Specialty Current Accepting new patients
Kings Daughters Medical Specialties Inc Single Specialty Past Accepting new patients

Locations

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

336 29th St
Ste 100
Ashland, KY 41101
Phone (606) 324-4404

336 29th St
Ste 101
Ashland, KY 41101
Phone (606) 324-4404

Interoperability endpoints

  • Direct secure messaging: dhettel95053@direct.kdhealth.us

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1285124636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 29TH ST STE 101",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411011976",
            "telephone_number": "606-324-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 29TH ST STE 101",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411011976",
            "telephone_number": "606-324-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETTEL",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-11",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "KY",
            "license": "59148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.