Active NPI
Daniel R McCormack, D.O.
- Allergy & Immunology Physician
- Bloomington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 02001722A
- Practice address
- 485 S Landmark Ave
Bloomington, IN 47403-5005 - Phone
- (812) 334-1198
- Fax
- (812) 334-1199
- NPI assigned
- Jul 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 02001722A | IN | Primary |
Addresses
Primary practice location
485 S Landmark Ave
Bloomington, IN 47403-5005
Mailing address
485 S Landmark Ave
Bloomington, IN 47403-5005
Phone (812) 334-1198
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200091640 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Philadelphia College of Osteopathic Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
485 S Landmark Ave
Bloomington, IN 47403-5005
Phone (812) 334-1198
Hospital & facility affiliations
- Greene County General Hospital
- Indiana University Health Bloomington Hospital
- Indiana University Health Bedford Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.25 of 100
- Quality
- 86.03
- Promoting interoperability
- 86
- Improvement activities
- 40
- Cost
- 73.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02001722A | IN | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PSF PLLC | Allergy & Immunology | Current | Accepting new patients |
| Allergy & Asthma of Southern Indiana, P.C. | Allergy & Immunology | Past | Accepting new patients |
| Allergy & Asthma of Southern Indiana, PC | Allergy & Immunology | Past | Accepting new patients |
| Allergy & Asthma of Southern Indiana, P.C. | Allergy & Immunology | Past | Accepting new patients |
Locations
1600 23rd St
Bedford, IN 47421
Phone (812) 275-3331
485 S Landmark Ave
Bloomington, IN 47403
Phone (812) 334-1198
3003 Charlestown Xing
New Albany, IN 47150
Phone (812) 945-5653
Interoperability endpoints
- mccormack.daniel.001.0140004@aas.meditab.direct-ci.com
- mccormack.daniel.003.0140004@aas.meditab.direct-ci.com
- mccormack.daniel.002.0140004@aas.meditab.direct-ci.com
Organizations & group practices 4
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.
-
- Allergy & Immunology Physician
- Paoli, IN
- NPI 1205039112
-
- Allergy & Immunology Physician
- Bedford, IN
- NPI 1396948204
-
- Allergy & Immunology Physician
- Washington, IN
- NPI 1114120029
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Linton, IN
- NPI 1184695389
-
- Critical Access Hospital
- Bedford, IN
- NPI 1548260284
-
- General Acute Care Hospital
- Bloomington, IN
- NPI 1205860335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350950400000",
"number": "1629076849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "485 S LANDMARK AVE",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474035005",
"telephone_number": "812-334-1198",
"fax_number": "812-334-1199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485 S LANDMARK AVE",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474035005",
"telephone_number": "812-334-1198",
"fax_number": "812-334-1199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORMACK",
"first_name": "DANIEL",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2012-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "IN",
"license": "02001722A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200091640",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.