NPIMap

Individual provider Active NPI

Daniel Evans Huckestein, DO

  • Family Medicine Physician
  • Clearfield, PA
National Provider Identifier
1841297819
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS009154L Issued in PA
Practice address
531 Hannah St
Clearfield, PA 16830-1209
Phone
(814) 765-2261
Fax
(814) 765-4421
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS009154L PA Primary

Addresses

Primary practice location

531 Hannah St
Clearfield, PA 16830-1209

Mailing address

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 768-2356

Other identifiers 1

IdentifierTypeStateIssuer
0015971810007MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100927000926 PA Practitioner - Family Practice 0749306876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
College of Physicians and Surgeons (Iowa), 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

465 State St
Curwensville, PA 16833-1240
Phone (814) 236-1123

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS009154LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dubois Regional Medical Center CurrentSince Apr 1, 2014 Accepting new patients
Dubois Regional Medical Center Family Medicine CurrentSince Apr 1, 2014 Accepting new patients
Dubois Regional Medical Center Past Accepting new patients

Locations

531 Hannah St
Clearfield, PA 16830
Phone (814) 765-1982

820 Turnpike Ave
Clearfield, PA 16830
Phone (814) 765-2006

807 Turnpike Ave
Ste 120
Clearfield, PA 16830
Phone (814) 765-2261

465 State St
Curwensville, PA 16833
Phone (814) 236-1123

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

145 Hospital Ave
Ste 101
Dubois, PA 15801
Phone (814) 375-5305

Interoperability endpoints

  • Direct secure messaging: dhuckestein@1285.direct.myezyaccess.com

Organizations & group practices 3

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 76

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

View all 76

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1841297819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011440",
            "telephone_number": "814-768-2356",
            "fax_number": "814-768-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 HANNAH ST",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168301209",
            "telephone_number": "814-765-2261",
            "fax_number": "814-765-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUCKESTEIN",
        "first_name": "DANIEL",
        "middle_name": "EVANS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS009154L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015971810007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearfield, PA

Sources for this page

Verify at the official NPI Registry.