Individual provider Active NPI

Darren Doyle Phelan, M.D.

  • Emergency Medicine Physician
  • Menlo Park, CA
National Provider Identifier
1598878894
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G071895 Issued in CA
Practice address
401 Burgess Dr
Suite D
Menlo Park, CA 94025-3469
Phone
(650) 326-0840
Fax
(650) 326-1719
NPI assigned
Aug 17, 2006
Last updated
May 1, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G071895 CA Primary

Addresses

Primary practice location

401 Burgess Dr
Suite D
Menlo Park, CA 94025-3469

Mailing address

401 Burgess Dr
Suite D
Menlo Park, CA 94025-3469
Phone (650) 326-0840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 12, 2015 through May 12, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G071895CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swope Medical Group Inc Emergency Medicine Current Accepting new patients

Locations

155 Glasson Way
Grass Valley, CA 95945
Phone (530) 274-6000

4401 W Memorial Rd
Ste 121
Oklahoma City, OK 73134
Phone (405) 749-4560

Interoperability endpoints

  • Direct secure messaging: darren.phelan.1@19661.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1598878894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BURGESS DR",
            "address_2": "SUITE D",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940253469",
            "telephone_number": "650-326-0840",
            "fax_number": "650-326-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BURGESS DR",
            "address_2": "SUITE D",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940253469",
            "telephone_number": "650-326-0840",
            "fax_number": "650-326-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELAN",
        "first_name": "DARREN",
        "middle_name": "DOYLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G071895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

Verify at the official NPI Registry.