Daniel A Pummill, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

12734 Issued in OK

Practice address

1261 E Tulsa Ave
Kansas, OK 74347-7026

Phone

(918) 868-2175

Fax

(918) 868-2944

NPI assigned

May 10, 2006

Last updated

Jul 10, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK, AR2 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

Family Practice

Education

University of Oklahoma College of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St. Francis House Nwa, Inc.Group PAC ID 0042262495, shared by 27 NPIs, 67 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carter Healthcare of Oklahoma, LLC Home health agency, Vinita, OK, CCN 377692
• Good Shepherd Hospice, Inc. Hospice, Grove, OK, CCN 371574
• Integris Grove Hospital Hospital, Grove, OK, CCN 370113

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St Francis House Nwa, Inc

  dba Kansas Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Kansas, OK
  • NPI 1336902311
  Medicare reassignment NPD
• St Francis House Nwa, Inc

  dba Community Clinic West Fork

  • Federally Qualified Health Center (FQHC)
  • West Fork, AR
  • NPI 1336986785
  Medicare reassignment NPD
• St Francis House Nwa, Inc

  dba Sager Creek Pediatrics & Family Care

  • Federally Qualified Health Center (FQHC)
  • Siloam Springs, AR
  • NPI 1396507471
  NPD
• Ahs Oklahoma Physician Group, LLC

  dba Cushing Medical Specialist

  • Rural Health Clinic/Center
  • Cushing, OK
  • NPI 1922683051
  NPD (past)
• St. Francis House Nwa, Inc.

  dba Community Clinic Rogers Medical

  • Federally Qualified Health Center (FQHC)
  • Rogers, AR
  • NPI 1710160098
  NPD (past)

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

• Carter Healthcare of Oklahoma, LLC

  • Home Health Agency
  • Vinita, OK
  • NPI 1659384956
  Care Compare affiliation
• Good Shepherd Hospice Inc

  • Community Based Hospice Care Agency
  • Grove, OK
  • NPI 1447352505
  Care Compare affiliation
• Integris Grove Hospital

  dba Integris Health Grove Hospital

  • General Acute Care Hospital
  • Grove, OK
  • NPI 1467473579
  Care Compare affiliation
• Integris Grove Hospital

  dba Integris Grove EMS

  • Ambulance
  • Grove, OK
  • NPI 1770626608

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1851341218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80",
            "city": "KANSAS",
            "state": "OK",
            "postal_code": "743470080",
            "telephone_number": "918-868-2175",
            "fax_number": "918-868-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 E TULSA AVE",
            "city": "KANSAS",
            "state": "OK",
            "postal_code": "743477026",
            "telephone_number": "918-868-2175",
            "fax_number": "918-868-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUMMILL",
        "first_name": "DANIEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "12734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AR",
            "identifier": "53055",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Oakball
• Osu Center for Health Sciences (Osu-Aj Kansas Medical Clinic)
• Laarnie Salazar Paine
• Donna Parmain, RN
• Angela Penn-Juenger, LCSW
• Richard Williamson Ramos
• Madison Nicole Robinson
• Melissa Rowe
• Ambry Jordan Smith
• Pamela Snell

• Family Medicine Physician in Kansas, OK
• Providers in Kansas, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.