NPIMap

Individual provider Active NPI

Chaillie P Daniel, M.D.

  • Family Medicine Physician
  • Saint Francisville, LA
National Provider Identifier
1972642312
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
LA023620 Issued in LA
Practice address
5326 Oak St.
St. Francisville, LA 70775
Phone
(225) 635-5848
NPI assigned
Feb 5, 2007
Last updated
Oct 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 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 LA023620 LA Primary

Addresses

Primary practice location

5326 Oak St.
St. Francisville, LA 70775

Mailing address

PO Box 487
Saint Francisville, LA 70775-0487
Phone (225) 635-5845

Other identifiers 1

IdentifierTypeStateIssuer
1483788MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20051220000344 LA Practitioner - Family Practice 1951323849 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Daniel Services LLCGroup PAC ID 7911927249, 7 clinicians

Practice addresses (Care Compare)

5002 Hwy 10
Jackson, LA 70748-3627
Phone (225) 634-4107

5326 Oak St
Saint Francisville, LA 70775-4510
Phone (225) 635-5848

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions23
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LA023620LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Services LLC Family Medicine CurrentSince Apr 1, 2002 Accepting new patients
West Feliciana Parish Hospital Physician Clinic Family Medicine Past Accepting new patients
Villa Feliciana Medical Complex Past Accepting new patients
Hospice Foundation of Greater Baton Rouge Family Medicine Past Accepting new patients

Locations

5326 Oak St
St Francisvle, LA 70775
Phone (225) 635-5848

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/westfel-403f2fc3

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Villa Feliciana Medical ComplexJackson, LA, CCN 195150 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Indirect Ownership Interest		 Oct 1, 2022
Oct 1, 2022
Oct 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 11

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1972642312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 487",
            "city": "SAINT FRANCISVILLE",
            "state": "LA",
            "postal_code": "707750487",
            "telephone_number": "225-635-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5326 OAK ST.",
            "city": "ST. FRANCISVILLE",
            "state": "LA",
            "postal_code": "70775",
            "telephone_number": "225-635-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "CHAILLIE",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "LA023620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1483788",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Francisville, LA

Sources for this page

Verify at the official NPI Registry.