Individual provider Active NPI

Daniel Fuentes, D.O.

  • Orthopaedic Surgery Physician
  • Lufkin, TX
National Provider Identifier
1336189562
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
J6443 Issued in TX
Practice address
208 Gaslight Blvd
Lufkin, TX 75904-3166
Phone
(936) 634-8800
NPI assigned
Jun 7, 2006
Last updated
Jul 20, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X J6443 TX Primary

Addresses

Primary practice location

208 Gaslight Blvd
Lufkin, TX 75904-3166

Mailing address

208 Gaslight Blvd
Lufkin, TX 75904-3166
Phone (936) 634-8800

Other identifiers 1

IdentifierTypeStateIssuer
031258901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100317000593 TX Practitioner - Orthopedic Surgery 9931011715 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of North Texas HSC, College of Osteopathic Med, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Specialist Center PLLCGroup PAC ID 2163557026, 9 clinicians

Practice addresses (Care Compare)

208 Gaslight Blvd
Lufkin, TX 75904-3166
Phone (936) 634-8800

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated MRI Center, PLLC CurrentSince Sep 4, 2018 Accepting new patients
Texas Specialist Center, PLLC Orthopaedic Surgery CurrentSince Jan 15, 2010 Accepting new patients

Locations

208 Gaslight Blvd
Lufkin, TX 75904
Phone (936) 634-0062

208 Gaslight Blvd
Ste B
Lufkin, TX 75904
Phone (936) 630-8808

208 Gaslight Blvd
Ste C
Lufkin, TX 75904
Phone (936) 632-6510

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.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1336189562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043166",
            "telephone_number": "936-634-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 GASLIGHT BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043166",
            "telephone_number": "936-634-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "J6443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031258901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.