Individual provider Active NPI

Daniel R Lane, M.D.

  • Surgery Physician
  • Mobile, AL
National Provider Identifier
1669494191
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
20868 Issued in AL
Practice address
3 Mobile Infirmary Cir
Suite 212
Mobile, AL 36607-3520
Phone
(251) 433-2609
Fax
(251) 438-9607
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 20868 AL Primary

Addresses

Primary practice location

3 Mobile Infirmary Cir
Suite 212
Mobile, AL 36607-3520

Mailing address

3 Mobile Infirmary Cir
Suite 212
Mobile, AL 36607-3520
Phone (251) 433-2609

Other identifiers 1

IdentifierTypeStateIssuer
528902590MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20110316000652 AL Practitioner - General Surgery 2163428590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Alabama School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgical Association of Mobile,P.a.Group PAC ID 9133017254, 5 clinicians

Practice addresses (Care Compare)

3 Mobile Infirmary Cir
Mobile, AL 36607-3514
Phone (251) 433-2609

Hospital & facility affiliations

  • Mobile Infirmary Medical Center Hospital, Mobile, AL, CCN 010113
  • Springhill Medical Center Hospital, Mobile, AL, CCN 010144

Merit-based Incentive Payment System (MIPS)

Final score
87.29 of 100Reported as group
Quality
69.72
Improvement activities
40
Cost
83.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Association of Mobile,P.a. Surgery CurrentSince Sep 12, 1997 Accepting new patients
Frontera Strategies, LLC Past Accepting new patients

Locations

3 Mobile Infirmary Cir
Ste 212
Mobile, AL 36607
Phone (205) 433-2609

Organizations & group practices 2

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 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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1669494191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MOBILE INFIRMARY CIR",
            "address_2": "SUITE 212",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073520",
            "telephone_number": "251-433-2609",
            "fax_number": "251-438-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MOBILE INFIRMARY CIR",
            "address_2": "SUITE 212",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073520",
            "telephone_number": "251-433-2609",
            "fax_number": "251-438-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "DANIEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "20868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528902590",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.