Eileen P Daly, MD
Individual provider Active NPI Emergency Medicine Physician · Rifle, CO
NPI 1508969759 · NPPES record last updated Aug 18, 2008
Key facts
- NPI
- 1508969759
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 45174 (CO)
- Practice address
- 501 Airport Rd
Emergency Dept
Rifle, CO 81650-8510 - Phone
- (970) 625-1510
- NPI assigned
- Sep 6, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.81 of 100
- Quality
- 78.69
- Improvement activities
- 40
- Cost
- 74.94
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111129000033 | NJ | Practitioner - Emergency Medicine | 7618068735 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45174 | CO | MD | Emergency Medicine Physician |
| MD063245L | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physician Services of New Jersey,Professional Association | Emergency Medicine | Current |
Accepting new patients |
Locations
175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660
1 Plainsboro Rd
#C
Plainsboro, NJ 08536
Phone (866) 460-4776
307 S Evergreen Ave
Woodbury, NJ 08096
Phone (856) 686-4300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD063245L | PA | |
| Emergency Medicine Physician | 207P00000X | 45174 | CO | Yes |
Addresses
Primary practice location
501 Airport Rd
Emergency Dept
Rifle, CO 81650-8510
Mailing address
379 Meadowview LN
Basalt, CO 81621-8343
Phone (215) 292-2494
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 69927332 | Medicaid | CO |
Other providers in Rifle, CO
- Heath Earl Cotter
- Sabina Cotter
- Trumon Otto Craft IV
- Geoffrey Curtis
- Donavan Dacares
- Jack Justin Davis
- Nicole Ezell Davis
- Carla Nohemi Delgado
- Stephen Z Dembitsky
- Robert Stephen Derkash
All providers in Rifle, CO · Emergency Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.