NPIMap

Individual provider Active NPI

Ellen Dauterive Caswell, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Gulfport, MS
National Provider Identifier
1487018420
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
28955 Issued in MS
Practice address
8950 Lorraine Rd Ste B
Gulfport, MS 39503-4183
Phone
(228) 822-6770
Fax
(228) 896-5374
NPI assigned
Apr 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 28955 MS Primary

Addresses

Primary practice location

8950 Lorraine Rd Ste B
Gulfport, MS 39503-4183

Mailing address

PO Box 1810
Gulfport, MS 39502-1810
Phone (228) 575-1194

Other names 1

  • Ellen Claire Dauterive Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20210826000760 MS Practitioner - EndocrinologyPractitioner - Internal Medicine 2961790373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
University of Mississippi School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital at GulfportGroup PAC ID 2466524012, 473 clinicians

Practice addresses (Care Compare)

118 Menge Ave
Pass Christian, MS 39571-4746
Phone (228) 822-6770

1340 Broad Ave
Gulfport, MS 39501-2460

1340 Broad Ave
Gulfport, MS 39501-2465

371 Courthouse Rd
Gulfport, MS 39507-1889
Phone (228) 575-1333

394 Courthouse Rd
Suite a
Gulfport, MS 39507-1866
Phone (228) 896-4417

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital at Gulfport Endocrinology, Diabetes & Metabolism CurrentSince Jul 19, 2021 Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients
Memorial Hospital at Gulfport CurrentSince Jul 19, 2021 Accepting new patients

Locations

8950 Lorraine Rd
Ste B
Gulfport, MS 39503
Phone (228) 575-2770

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

Interoperability endpoints

  • Direct secure messaging: ecaswell@direct.mhg.com

Organizations & group practices 3

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.

Hospital & facility affiliations 63

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

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1487018420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1810",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395021810",
            "telephone_number": "228-575-1194",
            "fax_number": "228-575-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 LORRAINE RD STE B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034183",
            "telephone_number": "228-822-6770",
            "fax_number": "228-896-5374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASWELL",
        "first_name": "ELLEN",
        "middle_name": "DAUTERIVE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MS",
            "license": "28955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "DAUTERIVE",
            "middle_name": "CLAIRE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.