Individual provider Active NPI

Dane Hamilton Nerad, DO

  • Emergency Medicine Physician
  • Fort Polk, LA
National Provider Identifier
1649759655
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
BP10065637 Issued in TX
Practice address
1585 3Rd St
Fort Polk, LA 71459-5102
Phone
(337) 531-3011
NPI assigned
Aug 9, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X BP10065637 TX Primary

Addresses

Primary practice location

1585 3Rd St
Fort Polk, LA 71459-5102

Mailing address

402 Greenwood Dr
Georgetown, TX 78628-8308
Phone (262) 490-9202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210713002629 LA Practitioner - Emergency Medicine 4284036245 Reassigns benefits to 6 organizations
I20240827004294 TX Practitioner - Emergency Medicine 4284036245 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Chicago College of Osteopathy, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Hospital Partners, PLLCGroup PAC ID 2062941057, 60 clinicians

Practice addresses (Care Compare)

1401 St Joseph Pkwy
Houston, TX 77002-8301
Phone (713) 575-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.62 of 100Reported as group
Quality
70.88
Improvement activities
40
Cost
75.82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10065637TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Emergency Group, LLC Emergency Medicine CurrentSince Jul 5, 2021 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Jun 26, 2021 Accepting new patients
South Central Physicians PLLC CurrentSince Jun 26, 2021 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Jun 26, 2021 Accepting new patients
Elite Hospital Partners, PLLC Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients
Acs Primary Care Physicians Louisiana PC Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients
Leatherwood Emergency Group, LLC Emergency Medicine CurrentSince Jun 20, 2021 Accepting new patients
Kisatchie Emergency Group, LLC Emergency Medicine CurrentSince Jul 20, 2021 Accepting new patients

Locations

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

2531 Viking Dr
Bossier City, LA 71111
Phone (318) 681-7000

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

165 Beech Springs Rd
Jonesboro, LA 71251
Phone (318) 259-4435

1020 W Fertitta Blvd
Leesville, LA 71446
Phone (337) 239-5278

130 Hospital Dr
Oakdale, LA 71463
Phone (318) 215-3084

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Organizations & group practices 9

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": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1649759655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 GREENWOOD DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786288308",
            "telephone_number": "262-490-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 3RD ST",
            "city": "FORT POLK",
            "state": "LA",
            "postal_code": "714595102",
            "telephone_number": "337-531-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERAD",
        "first_name": "DANE",
        "middle_name": "HAMILTON",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-09",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "BP10065637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Polk, LA

Sources for this page

Verify at the official NPI Registry.