Individual provider Active NPI

Jennifer Chuang Daly, MD

  • Diagnostic Radiology Physician
  • Covington, LA
National Provider Identifier
1861724080
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD.206050 Issued in LA
Practice address
301 N Highway 190 Ste C2
Covington, LA 70433-5057
Phone
(985) 773-1500
NPI assigned
Feb 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A99371 CA
Diagnostic Radiology Physician 2085R0202X MD60221755 WA
Diagnostic Radiology Physician 2085R0202X MD.206050 LA Primary

Addresses

Primary practice location

301 N Highway 190 Ste C2
Covington, LA 70433-5057

Mailing address

301 N Highway 190 Ste C2
Covington, LA 70433-5057
Phone (985) 773-1500

Other identifiers 2

IdentifierTypeStateIssuer
285026OtherWAL&I
2015478MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20131115000105 LA Practitioner - Diagnostic Radiology 8628241775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Vermont College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Radiology, LLCGroup PAC ID 2860404811, 40 clinicians

Practice addresses (Care Compare)

1202 S Tyler St
Covington, LA 70433-2330
Phone (985) 898-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A99371CAMDDiagnostic Radiology Physician
MD.206050LAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Radiology, LLC Diagnostic Radiology CurrentSince Feb 1, 2015 Accepting new patients
Everett Radia LLC Diagnostic Radiology Past Accepting new patients
Radia Inc P S Diagnostic Radiology Past Accepting new patients
Evergreen Radia LLC Diagnostic Radiology Past Accepting new patients
Lafayette Health Ventures, Inc Past Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology Past Accepting new patients

Locations

16282 Highway 1085
Covington, LA 70433
Phone (985) 898-4140

301 N Highway 190
Ste C2
Covington, LA 70433
Phone (985) 773-1500

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

82525 Highway 25
Folsom, LA 70437
Phone (985) 839-9895

1322 Elton Rd
Ste F
Jennings, LA 70546
Phone (337) 824-8868

409 W Pont des Mouton Rd
Lafayette, LA 70507

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

2929 Napoleon Ave
New Orleans, LA 70115
Phone (504) 897-8600

1900 Main St
Sheridan, LA 70438
Phone (985) 839-4431

Organizations & group practices 6

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 8

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": "1265932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1861724080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N HIGHWAY 190 STE C2",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335057",
            "telephone_number": "985-773-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N HIGHWAY 190 STE C2",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335057",
            "telephone_number": "985-773-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALY",
        "first_name": "JENNIFER",
        "middle_name": "CHUANG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-12",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A99371",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD60221755",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "MD.206050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "285026",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2015478",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.