Charles Paul Daly, MD

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

MD00030288 Issued in WA

Practice address

19020 33Rd Ave W
Suite 210
Lynnwood, WA 98036-4746

Phone

(425) 563-1500

Fax

(425) 563-1501

NPI assigned

Dec 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WA, SD2 enrollments

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 2

Specialty

Interventional Radiology

Education

University of California, San Francisco School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avera McKennan Hospital & University Health Center Hospital, Sioux Falls, SD, CCN 430016
• Osceola Community Hospital Hospital, Sibley, IA, CCN 161345
• Pipestone County Medical Center Hospital, Pipestone, MN, CCN 241374
• Spencer Municipal Hospital Hospital, Spencer, IA, CCN 160112

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Avera McKennan

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sioux Falls, SD
  • NPI 1699009944
  Medicare reassignment Care Compare group NPD
• Evergreen Radia LLC

  • Diagnostic Radiology Physician
  • Kirkland, WA
  • NPI 1922095694
  Medicare reassignment NPD
• Radia Imaging Center Holdings LLC

  • Diagnostic Radiology Physician
  • Seattle, WA
  • NPI 1639653017
  Medicare reassignment NPD
• Radia Inc P S

  • Diagnostic Radiology Physician
  • Lynnwood, WA
  • NPI 1932196607
  Medicare reassignment NPD
• South Sound Radiologists Inc P S

  • Diagnostic Radiology Physician
  • Olympia, WA
  • NPI 1902990500
  Medicare reassignment NPD
• Swedish Radia Imaging Center at Edmonds LLC

  • Diagnostic Radiology Physician
  • Edmonds, WA
  • NPI 1164494373
  Medicare reassignment NPD
• Radia Imaging Center Holdings LLC

  • Diagnostic Radiology Physician
  • Vancouver, WA
  • NPI 1154942886
  NPD
• Avera McKennan

  • Diagnostic Radiology Physician
  • Sioux Falls, SD
  • NPI 1053680678
  NPD
• Avera McKennan

  • Obesity Medicine (Family Medicine) Physician
  • Sioux Falls, SD
  • NPI 1457096133
  NPD
• King County Public Hospital District No. 2

  • Physical Therapist
  • Kirkland, WA
  • NPI 1356920946
  NPD (past)

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

• Avera McKennan

  • Obstetrics & Gynecology Physician
  • Sioux Falls, SD
  • NPI 1003188269

  Hospital

  Care Compare affiliation
• Avera McKennan

  • Rheumatology Physician
  • Sioux Falls, SD
  • NPI 1013177393

  Hospital

  Care Compare affiliation
• Avera McKennan

  • Psychiatry Physician
  • Sioux Falls, SD
  • NPI 1013980598

  Hospital

  Care Compare affiliation
• Avera McKennan

  • Orthopaedic Surgery Physician
  • Sioux Falls, SD
  • NPI 1093262131

  Hospital

  Care Compare affiliation
• Avera McKennan

  • Neurological Surgery Physician
  • Sioux Falls, SD
  • NPI 1114113693

  Hospital

  Care Compare affiliation
• Avera McKennan

  • Physical Medicine & Rehabilitation Physician
  • Sioux Falls, SD
  • NPI 1134195332

  Hospital

  Care Compare affiliation
• Avera McKennan

  • General Acute Care Hospital
  • Sioux Falls, SD
  • NPI 1154531630
  Care Compare affiliation
• Avera McKennan

  • General Acute Care Hospital
  • Sioux Falls, SD
  • NPI 1184834764
  Care Compare affiliation
• Avera McKennan

  • Gastroenterology Physician
  • Sioux Falls, SD
  • NPI 1194799882

  Hospital

  Care Compare affiliation
• Avera McKennan

  • Obstetrics & Gynecology Physician
  • Sioux Falls, SD
  • NPI 1336111962

  Hospital

  Care Compare affiliation
• Avera McKennan

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1376575514

  Hospital

  Care Compare affiliation
• Avera McKennan

  • Endocrinology, Diabetes & Metabolism Physician
  • Sioux Falls, SD
  • NPI 1396711016

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1790762946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W",
            "address_2": "SUITE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364746",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W",
            "address_2": "SUITE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364746",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALY",
        "first_name": "CHARLES",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00030288",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WA",
            "license": "MD00030288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PROVIDER NUMBER",
            "identifier": "155036",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8159824",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PROVIDER NUMBER",
            "identifier": "115847",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Klocker Daffon, PSYD.
• Jaesun Lee Dahlke
• Luke Douglas Daining, D.D.S.
• Edwar Dala, RN
• Elfira Dala
• Stephanie A Danforth
• Jonathan Dang
• Daniel Anyimah
• Makda Gaim Daniel
• Sammantha Christi Daniel

• Vascular & Interventional Radiology Physician in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Vascular & Interventional Radiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.

Verify at the official NPI Registry.