NPIMap

Individual provider Active NPI

Daniel Lee Courneya, M.D.

  • Diagnostic Radiology Physician
  • Hibbing, MN
National Provider Identifier
1891896239
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
43125 Issued in MN
Practice address
1200 E 25TH St
Hibbing, MN 55746-3897
Phone
(218) 312-3005
Fax
(218) 312-3003
NPI assigned
Sep 26, 2006
Last updated
Jul 25, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X MN43125 MN
Vascular & Interventional Radiology Physician 2085R0204X MN43125 MN
Nuclear Radiology Physician 2085N0904X MN43125 MN
Diagnostic Radiology Physician 2085R0202X 43125 MN Primary

Addresses

Primary practice location

1200 E 25TH St
Hibbing, MN 55746-3897

Mailing address

PO Box 366
Hibbing, MN 55746-0366
Phone (218) 312-3005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20040228000120 MN Practitioner - Diagnostic RadiologyPractitioner - Pain ManagementPractitioner - Interventional Radiology 1254228901 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology, Pain Management
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Imaging North PAGroup PAC ID 8628002888, 3 clinicians

Practice addresses (Care Compare)

1400 Hwy 71
International Falls, MN 56649-2154
Phone (218) 283-4481

600 Main Ave S
Baudette, MN 56623-2855
Phone (218) 634-2120

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MN43125MNMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Imaging North PA Diagnostic Radiology CurrentSince Nov 1, 2000 Accepting new patients
Medical Imaging North PA Body Imaging Current Accepting new patients
Radiologists Associated in Duluth LTD Body Imaging PastSince Jul 1, 2013 Accepting new patients
Radiological Associates of Duluth, LTD Body Imaging PastSince Jul 1, 2014 Accepting new patients

Locations

600 Main Ave S
Birchdale, MN 56623
Phone (218) 634-1655

1200 E 25th St
Hibbing, MN 55746
Phone (218) 312-3002

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481

715 Delmore Dr
Roseau, MN 56751
Phone (218) 463-2500

2000 S FM 51
Decatur, TX 76234
Phone (940) 626-1848

Organizations & group practices 5

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 5

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311552000000",
    "number": "1891896239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557460366",
            "telephone_number": "218-312-3005",
            "fax_number": "218-312-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E 25TH ST",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557463897",
            "telephone_number": "218-312-3005",
            "fax_number": "218-312-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURNEYA",
        "first_name": "DANIEL",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2011-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "MN",
            "license": "MN43125",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MN",
            "license": "MN43125",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "MN",
            "license": "MN43125",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "43125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hibbing, MN

Sources for this page

Verify at the official NPI Registry.