NPIMap

Individual provider Active NPI

Daniel Thomas Hall IV, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lake Charles, LA
National Provider Identifier
1891124665
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
200062 Issued in LA
Practice address
212 W McNeese St
Lake Charles, LA 70605-5639
Phone
(337) 474-2233
NPI assigned
Nov 2, 2013
Last updated
Jul 11, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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 200062 LA Primary

Addresses

Primary practice location

212 W McNeese St
Lake Charles, LA 70605-5639

Mailing address

212 W McNeese St
Lake Charles, LA 70605-5639
Phone (812) 483-7886

Other identifiers 1

IdentifierTypeStateIssuer
2359410MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20140701000805 LA Practitioner - Podiatry 9931323615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
R Franklin University of Med & Sci/Chicago Medical School, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisiana Foot and Ankle Specialists LLCGroup PAC ID 5799909461, 2 clinicians

Practice addresses (Care Compare)

212 W McNeese St
Lake Charles, LA 70605-5639
Phone (337) 474-2233

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue432
Removal of skin lesions1-10
Removal of nail tissue32
Removal or shaving of skin growth16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Foot and Ankle Specialists LLC Primary Podiatric Medicine CurrentSince Jul 1, 2014 Accepting new patients
A Complete Foot Center LLC PastSince Jul 1, 2014 Accepting new patients

Locations

212 W McNeese St
Lake Charles, LA 70605
Phone (337) 474-2233

Interoperability endpoints

  • Direct secure messaging: daniel.hall.1@10228.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/10228/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lake Charles Memorial HospitalLake Charles, LA, CCN 190060 Hospital Corporate Officer Jan 1, 2021
Lake Charles Memorial HospitalLake Charles, LA, CCN 19T060 Hospital Corporate Officer Jan 1, 2021
Lake Charles Memorial HospitalLake Charles, LA, CCN 19S060 Hospital Corporate Officer Jan 1, 2021
Home Health Agency of Lake Charles Memorial HospitalLake Charles, LA, CCN 197005 Home health agency Corporate Officer Jan 1, 2021
Iowa Health CenterIowa, LA, CCN 193408 Rural health clinic Corporate Officer Jan 1, 2021

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

Hospital & facility affiliations 11

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": "1383350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1891124665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W MCNEESE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055639",
            "telephone_number": "812-483-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W MCNEESE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055639",
            "telephone_number": "337-474-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "DANIEL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-02",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "LA",
            "license": "200062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2359410",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.