Active NPI
Daniel Irwin Dial, M.D.
- Specialist
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- LA11123R
- 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, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1663387 | Medicaid | LA |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 96 of 100
- 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LA11123R | LA | MD | Specialist |
| 11123 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Convenient Care LLC | Current | Accepting new patients | |
| Convenient Care LLC | Current | Accepting new patients | |
| St Martin Emergency Group LLC | Current | 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.
-
dba Lake After Hours Perkins
- Urgent Care Clinic/Center
- Baton Rouge, LA
- NPI 1164422630
-
- Emergency Medicine Physician
- Breaux Bridge, LA
- NPI 1710231774
-
- Clinic/Center
- Baton Rouge, LA
- NPI 1679753982
-
dba Lake After Hours Hammond
- Urgent Care Clinic/Center
- Hammond, LA
- NPI 1225119225
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
- Diabetic Pharmacy Centre, LLC (Diabetic Pharmacy Centre)
- Diagnostic and Interventional Medicine, LLC
- Diagnostic Health Corporation (Diagnostic Health Baton Rouge South)
- Diagnostic Health Corporation (Diagnostic Health, Baton Rouge North)
- Diagnostic Radiology Consultants, LLP
- Keriel Dial
- Micaela Diaz, LMSW
- Richie Rose Tulagan Diaz, MD
- Kristy Leigh Dibble, NP
- Kala D Dibenedetto, SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; 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.