Active NPI
Daniel G McAllister, MD
- Pediatrics Physician
- Medford, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD171590
- Practice address
- 2825 E Barnett Rd
Dept of Pediatrics
Medford, OR 97504-8332 - Phone
- (541) 789-4231
- Fax
- (541) 789-5934
- NPI assigned
- Aug 2, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 10519 | MT | |
| Pediatrics Physician | 208000000X | M4333 | TX | |
| Pediatrics Physician | 208000000X | MD171590 | OR | Primary |
Addresses
Primary practice location
2825 E Barnett Rd
Dept of Pediatrics
Medford, OR 97504-8332
Mailing address
2620 E Barnett Rd
Medford, OR 97504-8344
Phone (541) 789-4281
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0071247 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- 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
- Pediatric Medicine
- Education
- University of Texas HSC at Houston School of Dentistry, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
625 SW Ramsey Ave
Suite a
Grants Pass, OR 97527-5808
Phone (541) 507-2290
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD171590 | OR | MD | Pediatrics Physician |
| 10519 | MT | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asante Physician Partners | Pediatrics | Current | Accepting new patients |
Locations
625 SW Ramsey Ave
Ste A
Grants Pass, OR 97527
Phone (541) 474-5004
2620 E Barnett Rd
Ste H
Medford, OR 97504
Phone (541) 789-4281
2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770
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": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435276800000",
"number": "1629079504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 E BARNETT RD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048344",
"telephone_number": "541-789-4281",
"fax_number": "541-789-2558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 E BARNETT RD",
"address_2": "DEPT OF PEDIATRICS",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048332",
"telephone_number": "541-789-4231",
"fax_number": "541-789-5934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCALLISTER",
"first_name": "DANIEL",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2015-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MT",
"license": "10519",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "M4333",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OR",
"license": "MD171590",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0071247",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.