Jeffrey Lee Dakas, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MD071201L Issued in PA

Practice address

1500 N Westwood Blvd
Poplar Bluff, MO 63901-3318

Phone

(573) 686-4151

Fax

(573) 778-4559

NPI assigned

May 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• DLP Conemaugh Memorial Medical Center LLC

  • Family Medicine Physician
  • Johnstown, PA
  • NPI 1669873881

  Cardiovascular Disease, PA

  Medicare reassignment NPD
• DLP Conemaugh Meyersdale Medical Center LLC

  • Critical Access Hospital
  • Meyersdale, PA
  • NPI 1659376358

  PA

  Medicare reassignment NPD
• DLP Conemaugh Meyersdale Medical Center LLC

  • Family Medicine Physician
  • Meyersdale, PA
  • NPI 1932500154

  PA

  Medicare reassignment NPD
• DLP Conemaugh Miners Medical Center LLC

  • Critical Access Hospital
  • Hastings, PA
  • NPI 1184620486

  Cardiovascular Disease, PA

  Medicare reassignment NPD
• DLP Conemaugh Miners Medical Center LLC

  • Emergency Medicine Physician
  • Hastings, PA
  • NPI 1629471768

  PA

  Medicare reassignment NPD
• DLP Conemaugh Physician Practices LLC

  • Family Medicine Physician
  • Cresson, PA
  • NPI 1932515905

  PA

  Medicare reassignment NPD
• DLP Conemaugh Memorial Medical Center LLC

  • Registered Dietitian
  • Johnstown, PA
  • NPI 1760154975
  NPD
• DLP Conemaugh Miner'S Medical Center LLC

  • Emergency Medicine Physician
  • Hastings, PA
  • NPI 1811398076

  Cardiovascular Disease

  NPD
• DLP Conemaugh Physician Practices LLC

  • Internal Medicine Physician
  • Johnstown, PA
  • NPI 1205242609

  Cardiovascular Disease

  NPD
• DLP Conemaugh Physician Practices LLC

  • Rural Health Clinic/Center
  • Cresson, PA
  • NPI 1740696194
  NPD
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)
• Regional Health Services Inc

  • Family Medicine Physician
  • Erie, PA
  • NPI 1174520654
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1336142256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N WESTWOOD BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013318",
            "telephone_number": "573-686-4151",
            "fax_number": "573-778-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N WESTWOOD BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013318",
            "telephone_number": "573-686-4151",
            "fax_number": "573-778-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAKAS",
        "first_name": "JEFFREY",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "OH",
            "license": "35-082276",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NY",
            "license": "220681-1",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "PA",
            "license": "MD071201L",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD071201L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2189760",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001799454",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02079225",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina J Cunningham, MS
• Sandra Gail Cunningham
• Malachi Colm Curnutt
• Dillon Matthew Curry
• Kristen Deanne Daggett
• Daniel Jackson DDS PC
• Lori Daniel, PH.D.
• Dennis Edwards Daniels, MD
• Chasidy Darnell
• Gary W Dausmann, MD

• All providers in Poplar Bluff, MO
• Cardiovascular Disease Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.