Individual provider Active NPI

Danny Estupinan, M.D.

  • Neurology Physician
  • Tallahassee, FL
National Provider Identifier
1497047211
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
122851 Issued in FL
Practice address
1401 Centerville Rd Ste 600
Tallahassee, FL 32308-4661
Phone
(850) 878-8121
Fax
(850) 942-6515
NPI assigned
May 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 122851 FL Primary

Addresses

Primary practice location

1401 Centerville Rd Ste 600
Tallahassee, FL 32308-4661

Mailing address

1401 Centerville Rd Ste 300
Tallahassee, FL 32308-4675
Phone (850) 878-8121

Other identifiers 2

IdentifierTypeStateIssuer
015612000MedicaidFL
1512UOtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150806012729 FL Practitioner - NeurologyPractitioner - Internal Medicine 6800039322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Florida College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tallahassee Neurological ClinicGroup PAC ID 9032015946, 36 clinicians

Practice addresses (Care Compare)

1401 Centerville Rd
Suite 300
Tallahassee, FL 32308-4639
Phone (850) 877-5115

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Tallahassee, FL, CCN 107151
  • Centerwell Home Health Home health agency, Marianna, FL, CCN 109102
  • Centerwell Home Health Home health agency, Tallahassee, FL, CCN 107200
  • Tallahassee Memorial Healthcare Hospital, Tallahassee, FL, CCN 100135
  • Doctors Memorial Hospital Inc Hospital, Perry, FL, CCN 101314
  • Calhoun-Liberty Hospital Hospital, Blountstown, FL, CCN 101304

Merit-based Incentive Payment System (MIPS)

Final score
84.06 of 100Reported as individual
Quality
71.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
122851FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Neurological Clinic CurrentSince Sep 4, 2018 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

1401 Centerville Rd
Ste 300
Tallahassee, FL 32308
Phone (850) 877-5115

1401 Centerville Rd
Ste 600
Tallahassee, FL 32308
Phone (850) 878-8121

Organizations & group practices 2

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 6

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": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1497047211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 CENTERVILLE RD STE 300",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084675",
            "telephone_number": "850-878-8121",
            "fax_number": "850-942-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 CENTERVILLE RD STE 600",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084661",
            "telephone_number": "850-878-8121",
            "fax_number": "850-942-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTUPINAN",
        "first_name": "DANNY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-12",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "122851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015612000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1512U",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.