Daniel Thomas Hall IV, DPM
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Lake Charles, LA
NPI 1891124665 · NPPES record last updated Jul 11, 2014
Key facts
- NPI
- 1891124665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- 200062 (LA)
- Practice address
- 212 W McNeese St
Lake Charles, LA 70605-5639 - Phone
- (337) 474-2233
- NPI assigned
- Nov 2, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 11
Owned or controlled facilities with NPI records 7
Medicare Care Compare profile
- 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 LLC
Practice addresses (Care Compare)
212 W McNeese St
Lake Charles, LA 70605-5639
Phone (337) 474-2233
Hospital & facility affiliations
- Amedisys Home Health
- Lake Charles Memorial Hospital
- West Calcasieu Cameron Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 432 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 32 |
| Removal or shaving of skin growth | 16 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
All facility ownership & control disclosures 5
| Facility | Type | Role | Since |
|---|---|---|---|
| Lake Charles Memorial Hospital |
Hospital | Corporate Officer | Jan 1, 2021 |
| Lake Charles Memorial Hospital |
Hospital | Corporate Officer | Jan 1, 2021 |
| Lake Charles Memorial Hospital |
Hospital | Corporate Officer | Jan 1, 2021 |
| Home Health Agency of Lake Charles Memorial Hospital |
Home health agency | Corporate Officer | Jan 1, 2021 |
| Iowa Health Center |
Rural health clinic | Corporate Officer | Jan 1, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140701000805 | LA | Practitioner - Podiatry | 9931323615 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana Foot and Ankle Specialists LLC | Primary Podiatric Medicine | Current |
Accepting new patients |
| A Complete Foot Center LLC | Past |
Accepting new patients |
Locations
212 W McNeese St
Lake Charles, LA 70605
Phone (337) 474-2233
Interoperability endpoints
- daniel.hall.1@10228.direct.athenahealth.com
- https://api.platform.athenahealth.com/10228/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 200062 | LA | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2359410 | Medicaid | LA |
Other providers in Lake Charles, LA
- Joseph Garrett Hacker
- Thomas L Haftmann
- Jason P Hagen
- Steven S Hale
- Sharon Elaine Haley
- Nyneisha Ruth Hall
- Ruth A Hall
- Timothy C. Haman
- Douglas Allen Hamer
- H M Hamilton II
All providers in Lake Charles, LA · Foot & Ankle Surgery Podiatrist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.