Individual provider Active NPI

Daniel Raydell Clayton, PA

  • Surgical Physician Assistant
  • Houma, LA
National Provider Identifier
1629046586
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
A10531.RX Issued in LA
Practice address
1022 Belanger St
Houma, LA 70360-4412
Phone
(985) 223-3132
Fax
(985) 223-3126
NPI assigned
Mar 8, 2006
Last updated
Dec 13, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X A10531.RX LA Primary

Addresses

Primary practice location

1022 Belanger St
Houma, LA 70360-4412

Mailing address

PO Box 1094
Houma, LA 70361-1094
Phone (985) 223-3132

Other identifiers 1

IdentifierTypeStateIssuer
1625922MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090806000059 LA Practitioner - Physician Assistant 9133170889 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael S Haydel, M.D., ApmcGroup PAC ID 4789640624, 5 clinicians

Practice addresses (Care Compare)

1022 Belanger St
Houma, LA 70360-4412
Phone (985) 223-3132

1101 S College Rd
Suite 202
Lafayette, LA 70503-3038
Phone (985) 223-3132

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.67 of 100Reported as group
Quality
66.02
Promoting interoperability
100
Improvement activities
40
Cost
72.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
A10531.RXLAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Michael S Haydel, M.D., Apmc CurrentSince Jun 20, 2009 Accepting new patients
Cardiovascular Institute of the South, LLC PastSince Jan 1, 1990 Accepting new patients

Locations

1022 Belanger St
Houma, LA 70360
Phone (985) 868-1561

Interoperability endpoints

  • Direct secure messaging: dclayton408161@direct.ochsner.org

Organizations & group practices 3

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 2

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355356800000",
    "number": "1629046586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1094",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703611094",
            "telephone_number": "985-223-3132",
            "fax_number": "985-223-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 BELANGER ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604412",
            "telephone_number": "985-223-3132",
            "fax_number": "985-223-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "DANIEL",
        "middle_name": "RAYDELL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2012-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "LA",
            "license": "A10531.RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1625922",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.