Individual provider Active NPI

Daniel J Vaughan, M.D.

  • Neurology Physician
  • Abilene, TX
National Provider Identifier
1629142286
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
J8409 Issued in TX
Practice address
602 Hickory St
West Suite
Abilene, TX 79601-5044
Phone
(325) 704-5120
Fax
(325) 704-5123
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X J8409 TX Primary

Addresses

Primary practice location

602 Hickory St
West Suite
Abilene, TX 79601-5044

Mailing address

602 Hickory St
West Suite
Abilene, TX 79601-5044
Phone (325) 704-5120

Other identifiers 1

IdentifierTypeStateIssuer
115860202MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120712000860 TX Practitioner - Neurology 0840236360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

602 Hickory St
Abilene, TX 79601-5044
Phone (325) 704-5120

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bacchus & Vaughan Neurology Assoc., LLP Neurology CurrentSince Oct 23, 1995 Accepting new patients

Locations

602 Hickory St
Abilene, TX 79601
Phone (325) 672-3214

1150 N 18th St
Ste 206
Abilene, TX 79601
Phone (325) 695-1890

602 Hickory St
Side
Abilene, TX 79601
Phone (325) 670-3939

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1629142286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 HICKORY ST",
            "address_2": "WEST SUITE",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796015044",
            "telephone_number": "325-704-5120",
            "fax_number": "325-704-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 HICKORY ST",
            "address_2": "WEST SUITE",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796015044",
            "telephone_number": "325-704-5120",
            "fax_number": "325-704-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "J8409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115860202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.