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
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

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 LLC (761 clinicians)

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • Sovah Health Danville Hospital · Danville, VA · CCN 490075
  • Unc Rockingham Hospital · Eden, NC · CCN 340060

Merit-based Incentive Payment System (MIPS)

Final score
95.48 of 100 (group)
Quality
89.92
Improvement activities
40
Cost
78.23

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in VA, NC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20060929000226 VA Practitioner - Emergency Medicine
Practitioner - Internal Medicine		 6709881584 Reassigns benefits to 1 organization
I20071026000525 NC Practitioner - Emergency Medicine
Practitioner - Internal Medicine		 6709881584 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101043027 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

142 S Main St
Danville, VA 24541-2922

Mailing address

426 Wyatt Dr
Danville, VA 24540-1054

Other identifiers 4

NPPES NPI Registry
IdentifierTypeStateIssuer
005885833MedicaidVA
010313881MedicaidVA
89064Y6MedicaidNC
P00342773OtherVARAILROAD MEDICARE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 7, 2023.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005885833",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010313881",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89064Y6",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00342773",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.