Dale August Staggemeier Jr., MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M0627 Issued in TX

Practice address

205 E Lavielle St
Kirbyville, TX 75956

Phone

(409) 489-8938

Fax

(251) 260-8205

NPI assigned

Aug 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Family Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gentiva Hospice, Bellaire, TX, CCN 671626
• Gentiva Hospice, Beaumont, TX, CCN 451638
• Avalon Place Kirbyville Nursing home, Kirbyville, TX, CCN 675220
• Timberidge Nursing and Rehabilitation Center Nursing home, Jasper, TX, CCN 675709

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dale.staggemeier.1@19554.direct.athenahealth.com
• Direct secure messaging: dstaggemeier508548@christushealth.direct-ci.net

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Christus Health Southeast Texas

  • Rural Health Clinic/Center
  • Kirbyville, TX
  • NPI 1063485548

  W-2 Managing Employee

  CMS ownership

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.

• Redd Medical PLLC

  • Family Medicine Physician
  • Jasper, TX
  • NPI 1013472448
  Medicare reassignment NPD

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

• Heritage Health and Hospice Care, LLC

  • Community Based Hospice Care Agency
  • Bellaire, TX
  • NPI 1447381470
  Care Compare affiliation
• Liberty County Hospital District No 1

  • Skilled Nursing Facility
  • Kirbyville, TX
  • NPI 1447200118

  Nursing home

  Care Compare affiliation
• Odyssey Healthcare Operating a, LP

  • Community Based Hospice Care Agency
  • Beaumont, TX
  • NPI 1821099714
  Care Compare affiliation
• West Wharton County Hospital District

  • Skilled Nursing Facility
  • Jasper, TX
  • NPI 1720544786

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1346354941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2048",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "75951",
            "telephone_number": "409-489-8938",
            "fax_number": "251-260-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E LAVIELLE ST",
            "city": "KIRBYVILLE",
            "state": "TX",
            "postal_code": "75956",
            "telephone_number": "409-489-8938",
            "fax_number": "251-260-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGGEMEIER",
        "first_name": "DALE",
        "middle_name": "AUGUST",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M0627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH NUMBER",
            "identifier": "11609982",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175132303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• S&R Drug Company
• Patricia L Scott, RN, APRN, FNP-BC
• John Vincent Sessions, D.D.S.
• Jason Alan Shirley, LPC
• Tommy Kent Sims, PA-C
• Amanda Teague, MPT
• Texas Total Care, Inc.
• Courtney D Webb
• Chad E Wiggins, PHARMD

• Family Medicine Physician in Kirbyville, TX
• Providers in Kirbyville, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.