NPIMap

Individual provider Active NPI

Daunyale L Sporaa, DO

  • Family Medicine Physician
  • Emmetsburg, IA
National Provider Identifier
1952312985
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
03148 Issued in IA
Practice address
3201 1St St
Emmetsburg, IA 50536-2516
Phone
(712) 852-5555
Fax
(712) 852-5692
NPI assigned
Aug 11, 2006
Last updated
Nov 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 03148 IA Primary

Addresses

Primary practice location

3201 1St St
Emmetsburg, IA 50536-2516

Mailing address

600 1St St NW
Suite 101
Mason City, IA 50401-2932
Phone (641) 428-3041

Other identifiers 2

IdentifierTypeStateIssuer
41957OtherIAWELLMARK
4174631MedicaidIA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DaunyaleSporaa@pamhn.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20100111000439 IA Practitioner - Family Practice 9931179546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palo Alto County HospitalGroup PAC ID 4486563061, 23 clinicians

Practice addresses (Care Compare)

109 W Robins St
Graettinger, IA 51342-7732
Phone (712) 859-3131

3201 1St St
Emmetsburg, IA 50536-2516
Phone (712) 852-5500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
03148IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palo Alto County Hospital Current Accepting new patients
Palo Alto County Hospital Family Medicine CurrentSince Sep 1, 2001 Accepting new patients
Palo Alto County Hospital CurrentSince Sep 1, 2001 Accepting new patients
Inland Empire Hospital Services Association Family Medicine Past Accepting new patients
Palo Alto County Hospital Past Accepting new patients

Locations

3201 1st St
Emmetsburg, IA 50536
Phone (712) 852-5500

Interoperability endpoints

  • Direct secure messaging: daunyalesporaa@pamhn.cernerdirect.com

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 7

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1952312985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 1ST ST NW",
            "address_2": "SUITE 101",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012932",
            "telephone_number": "641-428-3041",
            "fax_number": "641-428-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 1ST ST",
            "city": "EMMETSBURG",
            "state": "IA",
            "postal_code": "505362516",
            "telephone_number": "712-852-5555",
            "fax_number": "712-852-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPORAA",
        "first_name": "DAUNYALE",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "03148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "41957",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4174631",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DaunyaleSporaa@pamhn.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Palo Alto County Health System Direct Email Addresss",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3201 1st St",
            "city": "Emmetsburg",
            "state": "IA",
            "country_code": "US",
            "postal_code": "505362516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Emmetsburg, IA

Sources for this page

Verify at the official NPI Registry.