Individual provider Active NPI

Daniel Dubose, M.D.

  • Anesthesiology Physician
  • Temple, TX
National Provider Identifier
1548649296
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
BP10053741 Issued in TX
Practice address
2401 S 31St St
Ms-20-D304
Temple, TX 76508-0001
Phone
(254) 724-5306
NPI assigned
May 28, 2015
Last updated
May 28, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X BP10053741 TX Primary

Addresses

Primary practice location

2401 S 31St St
Ms-20-D304
Temple, TX 76508-0001

Mailing address

2401 S 31St St
Ms-20-D304
Temple, TX 76508-0001
Phone (254) 724-5306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200722002037 TX Practitioner - Pain ManagementPractitioner - Anesthesiology 8921380221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
University of Texas Medical School at Houston, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daniel Dalton Dubose MD PAGroup PAC ID 3173947215, 2 clinicians

Practice addresses (Care Compare)

201 Crown Pointe Blvd
Suite 200
Willow Park, TX 76087-1304
Phone (817) 989-9733

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.08 of 100Reported as individual
Quality
86.3
Improvement activities
40
Cost
78.54

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Dalton Dubose, MD, PA CurrentSince Apr 9, 2020 Accepting new patients

Locations

201 Crown Pointe Blvd
#D3
Willow Park, TX 76087
Phone (817) 898-9733

201 Crown Pointe Blvd
Ste 200
Willow Park, TX 76087
Phone (817) 989-9733

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 5

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": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1548649296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 S 31ST ST",
            "address_2": "MS-20-D304",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765080001",
            "telephone_number": "254-724-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S 31ST ST",
            "address_2": "MS-20-D304",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765080001",
            "telephone_number": "254-724-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOSE",
        "first_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "BP10053741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.