Daniel W Dahl, MD
Individual provider Active NPI Diagnostic Radiology Physician · Fargo, ND
NPI 1285884767 · NPPES record last updated Aug 19, 2019
Key facts
- NPI
- 1285884767
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 12057 (ND)
- Practice address
- 801 Broadway N
Fargo, ND 58102-3641 - Phone
- (701) 234-2000
- Fax
- (701) 234-2345
- NPI assigned
- Sep 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Creighton University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sanford Medical Center Fargo
Practice addresses (Care Compare)
1412 Main St
Hawley, MN 56549
Phone (218) 483-3564
3001 Sanford Pkwy
Thief River Falls, MN 56701-2700
Phone (701) 780-4348
801 Broadway N
Fargo, ND 58102-3641
Phone (701) 234-2000
Hospital & facility affiliations
- Sanford Medical Center Fargo
- Perham Health
- Sanford Thief River Falls Medical Center
- Sanford Wheaton Medical Center
- Kittson Healthcare
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.99 of 100
- Quality
- 92.39
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.9
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.73 of 100
- Quality
- 71.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.68
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ND, MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111102000947 | ND | Practitioner - Diagnostic Radiology |
8921271164 | Reassigns benefits to 1 organization |
| I20201009000200 | MN | Practitioner - Diagnostic Radiology | 8921271164 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network North | Current |
Accepting new patients | |
| Sanford Medical Center Fargo | Current |
Accepting new patients | |
| Sanford Health Network North | Current | Accepting new patients | |
| Sanford Health Network North | Current |
Accepting new patients | |
| Sanford Medical Center Fargo | Family Medicine | Current |
Accepting new patients |
Locations
4000 28th Ave S
Moorhead, MN 56560
Phone (701) 234-3200
1720 US Highway 59 SE
Thief Rvr Fls, MN 56701
Phone (218) 681-4747
801 Broadway N
Fargo, ND 58102
Phone (701) 234-5121
2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800
1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 12057 | ND | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 2085R0202X | 12057 | ND | Yes |
Addresses
Primary practice location
801 Broadway N
Fargo, ND 58102-3641
Mailing address
PO Box 2168
Fargo, ND 58107-2168
Phone (701) 234-2000
Other providers in Fargo, ND
- Alyson Dahl
- Amanda R Dahl
- Benjamin Lane Dahl
- Christina Dahl
- Claire Dahl
- Jamie L Dahl
- Jeanette Kay Dahl
- Jonathan P Dahl
- Kayliana Dahl
- Kevin Dahl
All providers in Fargo, ND · Diagnostic Radiology Physician in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.