Individual provider Active NPI

Daniel Thomas Halloran, DPM

  • Foot & Ankle Surgery Podiatrist
  • Cedar Park, TX
National Provider Identifier
1831304104
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1819 Issued in TX
Practice address
1401 Medical Pkwy Ste 220
Cedar Park, TX 78613-5013
Phone
(512) 260-1581
Fax
(512) 406-7309
NPI assigned
May 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1819 TX Primary

Addresses

Primary practice location

1401 Medical Pkwy Ste 220
Cedar Park, TX 78613-5013

Mailing address

6210 E Highway 290 Ste 420
Austin, TX 78723-1142
Phone (512) 483-9569

Other identifiers 4

IdentifierTypeStateIssuer
1819OtherTXTX STATE LIC
751704354OtherTXTAX ID
380367801MedicaidTX
380367802MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071221000101 TX Practitioner - Podiatry 5294825618 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Regional Clinic PAGroup PAC ID 3072507789, 398 clinicians

Practice addresses (Care Compare)

6811 Austin Ctr Blvd
Suite 300
Austin, TX 78731-3295
Phone (512) 421-4424

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue26
Removal of skin lesions17
Removal of nail tissue134
Removal or shaving of skin growth35
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Regional Clinic, PA CurrentSince Feb 5, 2018 Accepting new patients
Austin Regional Clinic, PA CurrentSince Feb 5, 2018 Accepting new patients
North Texas Podiatry Associates PA Foot & Ankle Surgery CurrentSince Aug 6, 2007 Accepting new patients
Seton Hospitalist Service Past Accepting new patients

Locations

4515 Seton Center Pkwy
Ste 215
Austin, TX 78759
Phone (512) 338-3802

6835 Austin Center Blvd
Austin, TX 78731
Phone (512) 231-5210

6210 E Highway 290
Ste 420
Austin, TX 78723
Phone (512) 338-3802

6811 Austin Center Blvd
Ste 300
Austin, TX 78731
Phone (512) 346-8888

1401 Medical Pkwy
Ste 220
Cedar Park, TX 78613
Phone (512) 260-1581

401 Westpark Way
Euless, TX 76040
Phone (817) 283-5151

151 Exchange Blvd
Ste 500
Hutto, TX 78634
Phone (512) 846-1244

Interoperability endpoints

  • Direct secure messaging: dhalloran19957@arcmd.direct-ci.com

Organizations & group practices 4

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 2

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": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1831304104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 E HIGHWAY 290 STE 420",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231142",
            "telephone_number": "512-483-9569",
            "fax_number": "512-406-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MEDICAL PKWY STE 220",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786135013",
            "telephone_number": "512-260-1581",
            "fax_number": "512-406-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLORAN",
        "first_name": "DANIEL",
        "middle_name": "THOMAS",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX STATE LIC",
            "identifier": "1819",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "751704354",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380367801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380367802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.