NPIMap

Individual provider Active NPI

John J Dallara, M.D.

  • Emergency Medicine Physician
  • Danville, VA
National Provider Identifier
1720034523
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101043027 Issued in VA
Practice address
142 S Main St
Danville, VA 24541-2922
Phone
(919) 810-9971
NPI assigned
May 25, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 0101043027 VA Primary

Addresses

Primary practice location

142 S Main St
Danville, VA 24541-2922

Mailing address

426 Wyatt Dr
Danville, VA 24540-1054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 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
I20060929000226 VA Practitioner - Emergency MedicinePractitioner - Internal Medicine 6709881584 Reassigns benefits to 1 organization
I20071026000525 NC Practitioner - Emergency MedicinePractitioner - Internal Medicine 6709881584 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Virginia Commonwealth University, School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians

Practice addresses (Care Compare)

6801 Gov G C Peery Hwy
Richlands, VA 24641
Phone (276) 596-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.48 of 100Reported as group
Quality
89.92
Improvement activities
40
Cost
78.23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Jun 10, 2007 Accepting new patients
NC Emergency Physician Services, PLLC Emergency Medicine CurrentSince Sep 1, 2014 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Danville Emergency Group LLC Emergency Medicine Past Accepting new patients
Alamance Regional Medical Center, Inc. Past Accepting new patients
Unc Rockingham Health Care, Inc. Past Accepting new patients
Emergency Physicians of Southern Virginia LLP Emergency Medicine Past Accepting new patients
Danville Emergency Physicians, PC Emergency Medicine Past Accepting new patients
Morehead Memorial Hospital Emergency Medicine Past Accepting new patients
Dan River Emergency Services LLC Emergency Medicine Past Accepting new patients
Alamance Regional Medical Center, Inc Past Accepting new patients

Locations

117 E Kings Hwy
Eden, NC 27288
Phone (336) 627-6181

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

1135 Carthage St
Sanford, NC 27330
Phone (910) 774-2100

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

Organizations & group practices 11

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 3

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1720034523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 WYATT DR",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245401054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 S MAIN ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245412922",
            "telephone_number": "919-810-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLARA",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101043027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.