Individual provider Active NPI

Michael Evan Daniel, M.D.

  • Diagnostic Radiology Physician
  • Amarillo, TX
National Provider Identifier
1598912933
Registry record updated Oct 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
N9037 Issued in TX
Practice address
1901 Medi Park Dr
Suite 2050
Amarillo, TX 79106-2110
Phone
(806) 355-3352
NPI assigned
Aug 27, 2008
Last updated
Oct 7, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X N9037 TX Primary

Addresses

Primary practice location

1901 Medi Park Dr
Suite 2050
Amarillo, TX 79106-2110

Mailing address

1901 Medi Park Dr
Suite 2050
Amarillo, TX 79106-2110
Phone (806) 355-3352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120705000451 TX Practitioner - Diagnostic Radiology 0446415046 Reassigns benefits to 2 organizations
I20141103002038 NM Practitioner - Diagnostic Radiology 0446415046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Texas Tech University Health Science Center School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Plains Radiological Association LLPGroup PAC ID 9739172479, 36 clinicians
Open Air Imaging Center LLPGroup PAC ID 9739258310, 25 clinicians

Practice addresses (Care Compare)

1901 Medi Park Dr
Suite 2050
Amarillo, TX 79106-2109
Phone (806) 355-3352

7400 Wallace Blvd
Amarillo, TX 79106-1818
Phone (806) 353-8333

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N9037TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
High Plains Radiological Association LLP Diagnostic Radiology CurrentSince Jun 4, 2012 Accepting new patients
Open Air Imaging Center, LLP CurrentSince Jun 4, 2012 Accepting new patients

Locations

117 Camino de Vida
Santa Rosa, NM 88435
Phone (575) 472-3417

1901 Medi Park Dr
Ste 2050
Amarillo, TX 79106
Phone (806) 355-3352

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

7400 Wallace Blvd
Amarillo, TX 79106
Phone (806) 351-8480

6700 W 9th Ave
Amarillo, TX 79106
Phone (806) 358-0200

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, 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": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381104000000",
    "number": "1598912933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK DR",
            "address_2": "SUITE 2050",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062110",
            "telephone_number": "806-355-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK DR",
            "address_2": "SUITE 2050",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062110",
            "telephone_number": "806-355-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "MICHAEL",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-27",
        "last_updated": "2013-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "N9037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.