NPIMap

Individual provider Active NPI

Daniel Lee Harris, MD

  • Pain Medicine (Anesthesiology) Physician
  • Beaumont, TX
National Provider Identifier
1942332242
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
M2638 Issued in TX
Practice address
3070 College St Ste 300
Beaumont, TX 77701-4667
Phone
(409) 892-4600
Fax
(877) 671-0221
NPI assigned
Mar 12, 2007
Last updated
Sep 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X M2638 TX Primary

Addresses

Primary practice location

3070 College St Ste 300
Beaumont, TX 77701-4667

Mailing address

3070 College St Ste 300
Beaumont, TX 77701-4667
Phone (409) 892-4600

Other identifiers 1

IdentifierTypeStateIssuer
8S9651OtherTXBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070813000655 TX Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 9638260110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
University of Texas Medical School at Houston, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coastal Spine and Pain Institute PLLCGroup PAC ID 0042500100, 7 clinicians

Practice addresses (Care Compare)

16922 Telge Rd
Suite 2a
Cypress, TX 77429-1108
Phone (404) 892-4600

3070 College St
Suite 300
Beaumont, TX 77701-4667
Phone (409) 892-4600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as individual
Quality
71.07
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M2638TXMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Spine & Pain Institute, PLLC Pain Medicine CurrentSince Apr 1, 2016 Accepting new patients
Southern Anesthetics, PLLC CurrentSince Jul 28, 2009 Accepting new patients
Coastal Pain Care Lake Charles, LLC Past Accepting new patients

Locations

3070 College St
Ste 300
Beaumont, TX 77701
Phone (409) 892-4600

755 N 11th St
Ste P2280
Beaumont, TX 77702
Phone (409) 236-1600

2014 S Wheeler St
Ste 130
Jasper, TX 75951
Phone (409) 384-6000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FJBIAD

Organizations & group practices 3

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1942332242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 COLLEGE ST STE 300",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014667",
            "telephone_number": "409-892-4600",
            "fax_number": "877-671-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 COLLEGE ST STE 300",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014667",
            "telephone_number": "409-892-4600",
            "fax_number": "877-671-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DANIEL",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "M2638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8S9651",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.