NPIMap

Individual provider Active NPI

Daniel L Stanton Jr., M.D.

  • Diagnostic Radiology Physician
  • Springfield, IL
National Provider Identifier
1770518706
Registry record updated Jun 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
M3748 Issued in TX
Practice address
701 N. First St
Springfield, IL 62781
Phone
(217) 788-3245
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X M3748 TX Primary

Addresses

Primary practice location

701 N. First St
Springfield, IL 62781

Mailing address

2040 W. Iles
Suite C
Springfield, IL 62704
Phone (217) 789-7743

Other identifiers 2

IdentifierTypeStateIssuer
8W2043OtherTXBCBSTX
181180401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, SD2 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
I20090216000407 IL Practitioner - Diagnostic Radiology 4082618798 Reassigns benefits to 2 organizations
I20240423002610 SD Practitioner - Diagnostic Radiology 4082618798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Loyola University of Chicago, Stritch School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sacred Heart Health ServicesGroup PAC ID 6103729066, 151 clinicians
Avera Queen of PeaceGroup PAC ID 9335050806, 122 clinicians

Practice addresses (Care Compare)

244 Cumberland Dr
Rochester, IL 62563-9268
Phone (605) 668-8000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Avera Queen of Peace CurrentSince Mar 1, 2024 Accepting new patients
Avera Queen of Peace Diagnostic Radiology CurrentSince Mar 1, 2024 Accepting new patients
Avera Queen of Peace Current Accepting new patients
Sacred Heart Health Services CurrentSince Mar 1, 2024 Accepting new patients
Sacred Heart Health Services Diagnostic Radiology CurrentSince Mar 1, 2024 Accepting new patients
Ut Imaging - Houston LLP Diagnostic Radiology Past Accepting new patients
Cira Michigan PC Diagnostic Radiology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dstan@yourcarecommunity.org

Organizations & group practices 7

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 12

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245283200000",
    "number": "1770518706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 W. ILES",
            "address_2": "SUITE C",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "62704",
            "telephone_number": "217-789-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N. FIRST ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "62781",
            "telephone_number": "217-788-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANTON",
        "first_name": "DANIEL",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2009-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "M3748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8W2043",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181180401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.