Individual provider Active NPI

Daniel Irwin Dial, M.D.

  • Specialist
  • Baton Rouge, LA
National Provider Identifier
1386618908
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
LA11123R Issued in LA
Practice address
2524 Laurel Lakes Ave
Baton Rouge, LA 70820-5736
Phone
(225) 769-4171
Fax
(225) 262-7714
NPI assigned
Feb 13, 2006
Last updated
Feb 15, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X LA11123R LA Primary

Addresses

Primary practice location

2524 Laurel Lakes Ave
Baton Rouge, LA 70820-5736

Mailing address

10880 Joor Road
Baton Rouge, LA 70818
Phone (225) 262-7710

Other identifiers 1

IdentifierTypeStateIssuer
1663387MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20080103000231 LA Practitioner - Internal MedicinePractitioner - Emergency Medicine 6406936491 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96 of 100Reported as group
Quality
78.84
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
LA11123RLAMDSpecialist
11123LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Convenient Care LLC Current Accepting new patients
Convenient Care LLC CurrentSince Feb 6, 2013 Accepting new patients
St Martin Emergency Group LLC CurrentSince Jun 1, 2013 Accepting new patients

Locations

12525 Perkins Rd
#B
Baton Rouge, LA 70810
Phone (225) 819-8857

210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178

Organizations & group practices 4

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360886400000",
    "number": "1386618908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10880 JOOR ROAD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70818",
            "telephone_number": "225-262-7710",
            "fax_number": "225-262-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 LAUREL LAKES AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708205736",
            "telephone_number": "225-769-4171",
            "fax_number": "225-262-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAL",
        "first_name": "DANIEL",
        "middle_name": "IRWIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2013-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "LA11123R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1663387",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.