Individual provider Active NPI

Daniel Lewis Monahan, M.D.

  • Surgery Physician
  • Roseville, CA
National Provider Identifier
1750435707
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G60308 Issued in CA
Practice address
1211 Pleasant Grove Blvd
Ste 120
Roseville, CA 95678-6988
Phone
(916) 791-8346
Fax
(916) 791-8833
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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 G60308 CA Primary

Addresses

Primary practice location

1211 Pleasant Grove Blvd
Ste 120
Roseville, CA 95678-6988

Mailing address

503 Wexford CT
Roseville, CA 95661-5109
Phone (916) 791-8346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20060411000529 CA Practitioner - General Surgery 1456360940 Practice locations: Roseville, CA

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Hawaii John a. Burns School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1211 Pleasant Grove Blvd
Roseville, CA 95678-6988
Phone (916) 791-8346

Hospital & facility affiliations

  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal650
Removal of tissue110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G60308CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Horizon Medical Corp Surgery Current Accepting new patients
Daniel L. Monahan M.D. Surgery PastSince Jan 1, 1990 Accepting new patients

Locations

1211 Pleasant Grove Blvd
Ste 120
Roseville, CA 95678
Phone (916) 214-4629

Interoperability endpoints

  • Direct secure messaging: dmonahan39578@hisp.ehr.sutterhealth.org

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 1

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1750435707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 WEXFORD CT",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956615109",
            "telephone_number": "916-791-8346",
            "fax_number": "916-791-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 PLEASANT GROVE BLVD",
            "address_2": "STE 120",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956786988",
            "telephone_number": "916-791-8346",
            "fax_number": "916-791-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONAHAN",
        "first_name": "DANIEL",
        "middle_name": "LEWIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G60308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.