NPIMap

Individual provider Active NPI

Charles D Daniels, M.D.

  • Specialist
  • El Dorado, AR
National Provider Identifier
1396732335
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
N8314 Issued in AR
Practice address
2700 Vine St
El Dorado, AR 71730-6700
Phone
(870) 862-1144
Fax
(870) 864-0782
NPI assigned
Oct 4, 2005
Last updated
Nov 26, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X N8314 AR Primary

Addresses

Primary practice location

2700 Vine St
El Dorado, AR 71730-6700

Mailing address

PO Box 10730
El Dorado, AR 71730-0028
Phone (870) 862-1144

Other identifiers 4

IdentifierTypeStateIssuer
129458001MedicaidAR
200031991OtherARUNITED/RAILROAD MEDICARE
16911000000OtherARQUAL CHOICE
0424120002OtherARDMEPOS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080213000731 AR Practitioner - Orthopedic Surgery 5799868139 Receives reassigned benefits from 16 practitioners
Practice locations: El Dorado, AR

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Arkansas College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2700 Vine St
El Dorado, AR 71730-6700
Phone (870) 875-5119

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement21
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Arkansas Orthopaedics and Sports Medicine Center PLLC Specialist Past Accepting new patients

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227657600000",
    "number": "1396732335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10730",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717300028",
            "telephone_number": "870-862-1144",
            "fax_number": "870-864-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 VINE ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717306700",
            "telephone_number": "870-862-1144",
            "fax_number": "870-864-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "CHARLES",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2008-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "N8314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129458001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED/RAILROAD MEDICARE",
            "identifier": "200031991",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUAL CHOICE",
            "identifier": "16911000000",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMEPOS",
            "identifier": "0424120002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

Verify at the official NPI Registry.