Individual provider Active NPI

Daryl Pinedo, MD

  • Diagnostic Radiology Physician
  • Clinton, MO
National Provider Identifier
1609098110
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D73346 Issued in MD
Practice address
1600 N 2ND St
Clinton, MO 64735-1297
Phone
(660) 885-5511
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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 D73346 MD Primary

Addresses

Primary practice location

1600 N 2ND St
Clinton, MO 64735-1297

Mailing address

1600 N 2ND St
Clinton, MO 64735-1297
Phone (660) 885-5511

Other identifiers 3

IdentifierTypeStateIssuer
P01266895OtherMORR MEDICARE
056119300MedicaidMD
1609098110MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS, OR, TX4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20131113001530 MO Practitioner - Diagnostic Radiology 3577719673 Reassigns benefits to 1 organization
I20160415000463 KS Practitioner - Diagnostic Radiology 3577719673 Reassigns benefits to 4 organizations
I20231206004361 OR Practitioner - Diagnostic Radiology 3577719673 Reassigns benefits to 3 organizations
I20241216000038 TX Practitioner - Diagnostic Radiology 3577719673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Kansas School of Med (KC/Wich/Sal), 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1600 N 2ND St
Clinton, MO 64735-1192
Phone (660) 885-8171

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Meade Hospital District CurrentSince Jun 1, 2024 Accepting new patients
Meade Hospital District CurrentSince Jun 1, 2024 Accepting new patients
Lower Umpqua Hospital District CurrentSince Nov 29, 2023 Accepting new patients
Gonzales Healthcare Systems CurrentSince Dec 6, 2024 Accepting new patients
Minneola District Hospital NBR 2 CurrentSince Oct 1, 2024 Accepting new patients
Baker Community Health Center Inc CurrentSince Jul 25, 2024 Accepting new patients
Golden Valley Memorial Hospital District CurrentSince Aug 1, 2022 Accepting new patients
Gonzales Healthcare Systems CurrentSince Dec 6, 2024 Accepting new patients
McKenzie Physician Services LLC CurrentSince Apr 10, 2025 Accepting new patients
Greator Missouri Imaging Associates LLC Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Minneola District Hospital NBR 2 CurrentSince Oct 1, 2024 Accepting new patients
Inspire Radiology Group LLC Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Golden Valley Memorial Hospital District CurrentSince Aug 1, 2022 Accepting new patients
Bay Area Hospital District CurrentSince Dec 13, 2023 Accepting new patients
Minneola District Hospital NBR 2 Current Accepting new patients
Lower Umpqua Hospital District CurrentSince Nov 29, 2023 Accepting new patients
Bay Area Hospital District CurrentSince Dec 13, 2023 Accepting new patients
Golden Valley Memorial Hospital District Current Accepting new patients
Meade Hospital District Current Accepting new patients
Lower Umpqua Hospital District Past Accepting new patients
Gonzales Healthcare Systems Diagnostic Radiology Past Accepting new patients
Inspire Radiology Group 2 LLC Diagnostic Radiology Past Accepting new patients
Lower Umpqua Hospital District Past Accepting new patients
Lower Umpqua Hospital District Past Accepting new patients

Locations

Dept LA 25339
Pasadena, CA 91185

222 Main St
Minneola, KS 67865
Phone (620) 885-4202

222 Main St
#97
Minneola, KS 67865
Phone (316) 885-4202

212 Main St
Minneola, KS 67865
Phone (620) 885-4202

3011 N Michigan St
Pittsburg, KS 66762
Phone (620) 231-1960

1600 N 2nd St
Clinton, MO 64735
Phone (660) 885-8171

1750 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-0333

1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

900 Sunset Dr
La Grande, OR 97850
Phone (541) 963-8421

600 Ranch Rd
Reedsport, OR 97467
Phone (541) 271-2171

1460 G St
Springfield, OR 97477
Phone (541) 431-0665

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

Interoperability endpoints

  • Direct secure messaging: dpinedo@yourcarecommunity.org
  • Direct secure messaging: daryl.pinedo@cernerdirect.coxhealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: dpinedo229963@direct.saint-lukes.org

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 7

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1609098110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N 2ND ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647351297",
            "telephone_number": "660-885-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N 2ND ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647351297",
            "telephone_number": "660-885-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINEDO",
        "first_name": "DARYL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D73346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01266895",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056119300",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609098110",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MO

Sources for this page

Verify at the official NPI Registry.