Individual provider Active NPI

Kevin A Danahey, OD

  • Optometrist
  • Mishawaka, IN
National Provider Identifier
1497732010
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002620A Issued in IN
Practice address
230 E Day Rd
100
Mishawaka, IN 46545-3408
Phone
(574) 271-3939
Fax
(574) 271-3941
NPI assigned
Dec 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002620A IN Primary

Addresses

Primary practice location

230 E Day Rd
100
Mishawaka, IN 46545-3408

Mailing address

230 E Day Rd
100
Mishawaka, IN 46545-3408
Phone (574) 271-3939

Other identifiers 3

IdentifierTypeStateIssuer
100363220AMedicaidIN
18002620AOtherINOPTOMETRIST LICENSE
P00014931OtherINRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100303000211 IN Practitioner - Optometry 4880666346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michiana Eye Center LLCGroup PAC ID 3173595634, 13 clinicians

Practice addresses (Care Compare)

230 E Day Rd
Suite 100
Mishawaka, IN 46545-3408
Phone (574) 271-3939

Merit-based Incentive Payment System (MIPS)

Final score
91.16 of 100Reported as group
Quality
96.76
Improvement activities
40
Cost
74.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002620AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michiana Eye Center LLC Optometrist CurrentSince Jan 19, 2010 Accepting new patients
Michiana Eye Center LLC Optometrist CurrentSince Jun 1, 2003 Accepting new patients
Michiana Eye Center , LLC Optometrist Past Accepting new patients
Michiana Eye Center LLC Optometrist Past Accepting new patients
Michiana Eye Center LLC Optometrist Past Accepting new patients

Locations

2216 Cassopolis St
Elkhart, IN 46514
Phone (574) 266-2111

1747 Stafford Ct
Goshen, IN 46526
Phone (574) 533-0100

230 E Day Rd
Ste 100
Mishawaka, IN 46545
Phone (574) 271-3939

320 Meadow Ln
Plymouth, IN 46563
Phone (574) 935-4480

319 N Niles Ave
#100
South Bend, IN 46617
Phone (574) 282-2020

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kevin.danahey@direct.mecfps.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1497732010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E DAY RD",
            "address_2": "100",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453408",
            "telephone_number": "574-271-3939",
            "fax_number": "574-271-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E DAY RD",
            "address_2": "100",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453408",
            "telephone_number": "574-271-3939",
            "fax_number": "574-271-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANAHEY",
        "first_name": "KEVIN",
        "middle_name": "A",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002620A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100363220A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRIST LICENSE",
            "identifier": "18002620A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00014931",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

Verify at the official NPI Registry.