Active NPI
Daryl K Maccarter, M.D.
- Specialist
- Coeur D Alene, ID
National Provider Identifier
1740249275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- M-7693
- Practice address
- 950 W Ironwood Dr
Coeur D Alene, ID 83814-2644 - Phone
- (208) 765-5457
- Fax
- (208) 765-6248
- NPI assigned
- Mar 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | M-7693 | ID | Primary |
Addresses
Primary practice location
950 W Ironwood Dr
Coeur D Alene, ID 83814-2644
Mailing address
950 W Ironwood Dr
Coeur D Alene, ID 83814-2644
Phone (208) 765-5457
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805354700 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251106003088 | MT | Order and Referring Only - Rheumatology | 3678760386 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-7693 | ID | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Idaho Arthritis & Osteoporosis Center PC | Past | Accepting new patients | |
| Logan Health - Whitefish | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Legal Medicine
- Meridian, ID
- NPI 1770539298
-
- Rural Health Clinic/Center
- Eureka, MT
- NPI 1336115849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434672000000",
"number": "1740249275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 W IRONWOOD DR",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142644",
"telephone_number": "208-765-5457",
"fax_number": "208-765-6248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 W IRONWOOD DR",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142644",
"telephone_number": "208-765-5457",
"fax_number": "208-765-6248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACCARTER",
"first_name": "DARYL",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-22",
"last_updated": "2015-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "ID",
"license": "M-7693",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805354700",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.