NPIMap

Individual provider Active NPI

Hien Dao, MD

  • Internal Medicine Physician
  • Fort Walton Beach, FL
National Provider Identifier
1699779389
Registry record updated Jul 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME79705 Issued in FL
Practice address
1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708
Phone
(850) 315-4249
Fax
(866) 315-4258
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME79705 FL
Internal Medicine Physician 207R00000X ME79705 FL Primary

Addresses

Primary practice location

1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708

Mailing address

1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708
Phone (850) 315-4249

Other identifiers 4

IdentifierTypeStateIssuer
267192100MedicaidFL
49694OtherFLBCBS
059188122OtherALBCBS
258396800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031219000127 FL Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Emergency Medicine 8527965201 Reassigns benefits to 2 organizations
I20200603001291 AL Practitioner - Emergency Medicine 8527965201 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Morehouse School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flowers HB Medical Services LLCGroup PAC ID 6305290990, 139 clinicians

Practice addresses (Care Compare)

4370 W Main St
Dothan, AL 36305-1056
Phone (334) 793-5000

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Dothan, AL, CCN 017159
  • Flowers Hospital Hospital, Dothan, AL, CCN 010055
  • Medical Center Barbour Hospital, Eufaula, AL, CCN 011307
  • Miller County Hospital Hospital, Colquitt, GA, CCN 111305
  • Medical Center Enterprise Hospital, Enterprise, AL, CCN 010049
  • Dale Medical Center Hospital, Ozark, AL, CCN 010021

Merit-based Incentive Payment System (MIPS)

Final score
45.86 of 100Reported as group
Quality
6.09
Improvement activities
40
Cost
81.25

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Alabama Physicians, LLP CurrentSince Apr 22, 2020 Accepting new patients
Flowers HB Medical Services LLC Emergency Medicine CurrentSince Oct 31, 2023 Accepting new patients
Hospital Physician Services of Florida PA Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
Crestview Hospital Company, LLC CurrentSince Nov 12, 2011 Accepting new patients
Crestview Hospital Company LLC Internal Medicine CurrentSince Nov 12, 2011 Accepting new patients
Imc-Hospitalists LLC CurrentSince Sep 29, 2020 Accepting new patients
App of Florida HM, LLC CurrentSince Aug 20, 2020 Accepting new patients
Northern Alabama Physicians, LLP Emergency Medicine Current Accepting new patients
Ft. Walton Beach Anesthesia Services LLC Past Accepting new patients
Triad of Alabama LLC Past Accepting new patients
Emerald Coast Pathology Associates PA Past Accepting new patients
4MD2 in Patient Physician Services of Fort Walton Beach LLC Past Accepting new patients
Okaloosa Hospital Inc Past Accepting new patients
Northwest Florida Primary Care LLC Past Accepting new patients

Locations

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

400 N Edwards St
Enterprise, AL 36330
Phone (334) 347-0584

750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375

5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415

1725 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-1366

550 Redstone Ave W
Ste 200
Crestview, FL 32536
Phone (850) 682-6122

151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 8

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247097600000",
    "number": "1699779389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476708",
            "telephone_number": "850-315-4249",
            "fax_number": "866-315-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476708",
            "telephone_number": "850-315-4249",
            "fax_number": "866-315-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAO",
        "first_name": "HIEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2009-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME79705",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME79705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267192100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "49694",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "059188122",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258396800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

Verify at the official NPI Registry.