Active NPI
Daniel Lewis Monahan, M.D.
- Surgery Physician
- Roseville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G60308
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 650 |
| Removal of tissue | 110 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G60308 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Horizon Medical Corp | Surgery | Current | Accepting new patients |
| Daniel L. Monahan M.D. | Surgery | Past | Accepting new patients |
Locations
1211 Pleasant Grove Blvd
Ste 120
Roseville, CA 95678
Phone (916) 214-4629
Interoperability endpoints
- 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.
-
- Surgery Physician
- Roseville, CA
- NPI 1457167306
-
- Surgery Physician
- Roseville, CA
- NPI 1306691464
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Roseville, CA
- NPI 1356390264
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.