Individual provider Active NPI

Louis Alan Dainty, MD

  • Gynecologic Oncology Physician
  • Green Bay, WI
National Provider Identifier
1649250655
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
13217-320 Issued in WI
Practice address
704 S Webster Ave Ste 300
Green Bay, WI 54301-3528
Phone
(920) 338-6868
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X D0075326 MD
Gynecologic Oncology Physician 207VX0201X MD042121 DC
Gynecologic Oncology Physician 207VX0201X MD458373 PA
Gynecologic Oncology Physician 207VX0201X 75499 MN
Gynecologic Oncology Physician 207VX0201X 13217-320 WI Primary

Addresses

Primary practice location

704 S Webster Ave Ste 300
Green Bay, WI 54301-3528

Mailing address

1043 S Quincy St
Green Bay, WI 54301-3209
Phone (240) 731-8836

Other practice location 1

1000 East Mountain Blvd.
Wilkes-Barre, PA 18711-3753
Phone (570) 808-7916

Other practice location 2

6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone (952) 993-3282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, WI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20150311002140 DC Practitioner - Obstetrics/GynecologyPractitioner - Gynecological Oncology 0244386977 Reassigns benefits to 2 organizations
I20221227000535 MD Practitioner - Obstetrics/Gynecology 0244386977 Reassigns benefits to 2 organizations
I20250326001648 WI Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 0244386977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological OncologyAlso: Hospice/Palliative Care
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oconto Hospital and Medical Center IncGroup PAC ID 2163461781, shared by 12 NPIs, 217 clinicians
Bellin Memorial Hospital IncGroup PAC ID 8820900749, 685 clinicians

Practice addresses (Care Compare)

2820 Roosevelt Rd
Marinette, WI 54143-3834
Phone (715) 735-5225

704 S Webster Ave
Green Bay, WI 54301-3533
Phone (920) 468-3444

Hospital & facility affiliations

  • Bellin Memorial Hospital Hospital, Green Bay, WI, CCN 520049

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as group
Quality
80.29
Promoting interoperability
100
Improvement activities
40
Cost
75.48

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0075326MDMDGynecologic Oncology Physician
MD458373PAMDGynecologic Oncology Physician
13217-320WIMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bellin Memorial Hospital Inc Gynecologic Oncology CurrentSince Feb 26, 2025 Accepting new patients
Medstar Medical Group II LLC CurrentSince Mar 1, 2025 Accepting new patients
WHC Physician Group LLC CurrentSince Aug 29, 2016 Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Feb 26, 2025 Accepting new patients
Bellin Memorial Hospital Inc Current Accepting new patients
WHC Emerg Phys CurrentSince Aug 29, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Bellin Memorial Hospital Inc Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

2000 15th St N
Ste 600
Arlington, VA 22201
Phone (202) 425-0000

704 S Webster Ave
Ste 100
Green Bay, WI 54301
Phone (920) 433-3410

704 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-3784

704 S Webster Ave
Ste 300
Green Bay, WI 54301
Phone (920) 433-6050

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

Interoperability endpoints

  • Direct secure messaging: ldainty1026904@direct.emplifyhealth.org

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1649250655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 S QUINCY ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013209",
            "telephone_number": "240-731-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 S WEBSTER AVE STE 300",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013528",
            "telephone_number": "920-338-6868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 East Mountain Blvd.",
            "address_purpose": "LOCATION",
            "city": "Wilkes-Barre",
            "state": "PA",
            "postal_code": "187113753",
            "country_code": "US",
            "telephone_number": "570-808-7916",
            "fax_number": "570-808-6006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6500 Excelsior Blvd",
            "address_purpose": "LOCATION",
            "city": "St Louis Park",
            "state": "MN",
            "postal_code": "554264702",
            "country_code": "US",
            "telephone_number": "952-993-3282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAINTY",
        "first_name": "LOUIS",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "MD",
            "license": "D0075326",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "DC",
            "license": "MD042121",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "PA",
            "license": "MD458373",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "MN",
            "license": "75499",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "WI",
            "license": "13217-320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.