Daniel Porter, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

N1072 Issued in TX

Practice address

605 S Conroe Medical Dr
Conroe, TX 77304-4722

Phone

(936) 539-4004

Fax

(936) 539-3635

NPI assigned

May 10, 2007

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 4

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

University of Texas Medical School at San Antonio, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lone Star Community Health Center, IncGroup PAC ID 7416841994, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Houston Healthcare Conroe Hospital, Conroe, TX, CCN 450222

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: daniel.porter.1@31617.direct.athenahealth.com
• Direct secure messaging: danielporter@lsfhc.allscriptsdirect.net

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.

• Lone Star Community Health Center, Inc.

  dba Lone Star Family Health Center

  • Family Medicine Physician
  • Conroe, TX
  • NPI 1568590610
  Medicare reassignment Care Compare group NPD
• Lone Star Community Health Center, Inc.

  dba Lone Star Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Magnolia, TX
  • NPI 1710857131
  NPD
• Chca Conroe LP

  dba Conroe Regional Medical Center

  • General Acute Care Hospital
  • Conroe, TX
  • NPI 1962455816
  NPD (past)
• Lone Star Community Health Center, Inc.

  dba Lone Star Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Conroe, TX
  • NPI 1326045774

  Family Medicine

  NPD (past)

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

• Chca Conroe LP

  dba Conroe Regional Medical Center

  • General Acute Care Hospital
  • Conroe, TX
  • NPI 1962455816
  Care Compare affiliation

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1356555866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S CONROE MEDICAL DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773044722",
            "telephone_number": "936-539-4004",
            "fax_number": "936-539-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S CONROE MEDICAL DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773044722",
            "telephone_number": "936-539-4004",
            "fax_number": "936-539-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2023-03-07",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N1072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8U6206",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9049383",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204338201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8282049",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nishreen Poonawala
• George Daniel Pope, M.D.
• Nonglak Poramapornpilas, NP
• Mia Pippina Porrovecchio-Foster, BSN, RN
• Charles Joseph Portales, DDS
• Leah Porter, LVN
• Positive Impact ABA LLC
• Post Acute Home Care PLLC
• Post Oak Pharmacy
• Post Oak Pharmacy LP (Lifechek Drug)

• Family Medicine Physician in Conroe, TX
• Providers in Conroe, 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 Mar 7, 2023; 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.
• 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.