Daniel Lee Courneya, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Hibbing, MN
NPI 1891896239 · NPPES record last updated Jul 25, 2011
Key facts
- NPI
- 1891896239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 43125 (MN)
- Practice address
- 1200 E 25TH St
Hibbing, MN 55746-3897 - Phone
- (218) 312-3005
- Fax
- (218) 312-3003
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medical Imaging North PA
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
- Rainy Lake Medical Center
- Lakewood Health Center
- Bigfork Valley Hospital
- Cook Hospital
- Essentia Health Virginia
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040228000120 | MN | Practitioner - Diagnostic Radiology |
1254228901 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MN43125 | MN | MD | Body Imaging Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Imaging North PA | Diagnostic Radiology | Current |
Accepting new patients |
| Medical Imaging North PA | Body Imaging | Current | Accepting new patients |
| Radiological Associates of Duluth, LTD | Body Imaging | Past |
Accepting new patients |
| Radiologists Associated in Duluth LTD | Body Imaging | Past |
Accepting new patients |
Locations
600 Main Ave S
Birchdale, MN 56623
Phone (218) 634-1655
750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441
1200 E 25th St
Hibbing, MN 55746
Phone (218) 312-3002
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62B06CO | Other | MN | BLUE CROSS BLUE SHIELD |
| 584142900 | Medicaid | MN |
Other providers in Hibbing, MN
- Renee Cook
- Beverly Coon
- Jeffrey Allan Copeman
- Cornerstone Caregiving East LLC
- Corolla Health PLC
- Janice Coutureknuti
- Creative Solutions-Counseling 4 Kids
- Rachel Diane Cunningham
- Nicole Marie Curtis
- Duane D. Dale
All providers in Hibbing, MN · Diagnostic Radiology Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2011. 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.
- 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.