Individual provider Active NPI

Daniel Rawn Emig, M.D.

  • Diagnostic Radiology Physician
  • Lake Havasu City, AZ
National Provider Identifier
1972657633
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
01063013A Issued in IN
Practice address
3662 N Winifred Way
Lake Havasu City, AZ 86404-5959
Phone
(219) 682-8738
Fax
(928) 466-9314
NPI assigned
Jan 22, 2007
Last updated
Jul 16, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 01063013A IN Primary

Addresses

Primary practice location

3662 N Winifred Way
Lake Havasu City, AZ 86404-5959

Mailing address

3662 N Winifred Way
Lake Havasu City, AZ 86404-5959
Phone (219) 682-8738

Other identifiers 2

IdentifierTypeStateIssuer
200827270MedicaidIN
P00413504OtherINRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090611000662 AZ Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 3274633730 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Indiana University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santa Cruz Radiology L L CGroup PAC ID 7012996952, 46 clinicians
Radiologic Associates of Northwest Arizona PLCGroup PAC ID 1355628215, 2 clinicians
Southern Arizona Rad Associates LLCGroup PAC ID 9133440753, 25 clinicians

Practice addresses (Care Compare)

1171 W Target Range Rd
Nogales, AZ 85621-2415
Phone (520) 287-2771

1355 Ramar Rd
Suite 12
Bullhead City, AZ 86442-7100
Phone (928) 634-0665

155 Calle Portal
Suite 500
Sierra Vista, AZ 85635-2973
Phone (520) 459-5227

2735 Silver Creek Rd
Bullhead City, AZ 86442-7924
Phone (928) 763-2273

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.77 of 100Reported as group
Quality
95.89
Improvement activities
40
Cost
81.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01063013AINMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Cochise Community Hospital Inc CurrentSince Jun 21, 2014 Accepting new patients
Radiologic Associates of Northwest Arizona PLC Diagnostic Radiology CurrentSince Apr 1, 2017 Accepting new patients
Benson Hospital Corporation CurrentSince Oct 1, 2014 Accepting new patients
Santa Cruz Radiology L L C Diagnostic Radiology CurrentSince Nov 2, 2025 Accepting new patients
Benson Hospital Corporation CurrentSince Oct 1, 2014 Accepting new patients
Southern Arizona Rad Associates, LLC Diagnostic Radiology CurrentSince Dec 13, 2025 Accepting new patients
Tri-State Medical Alliance LLC CurrentSince May 8, 2023 Accepting new patients
Radiologic Associates of Northwest Indiana, PC Diagnostic Radiology Past Accepting new patients

Locations

450 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-2261

1355 Ramar Rd
Ste 12
Bullhead City, AZ 86442
Phone (928) 634-6304

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273

4455 S I 19 Frontage Rd
Green Valley, AZ 85614
Phone (520) 393-4700

1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000

151 Colonia de Salud
Sierra Vista, AZ 85635
Phone (520) 263-3900

155 Calle Portal
Ste 500
Sierra Vista, AZ 85635
Phone (520) 459-5227

2492 E River Rd
Tucson, AZ 85718
Phone (520) 335-6849

901 W Rex Allen Dr
Willcox, AZ 85643
Phone (520) 384-3541

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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 8

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1972657633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3662 N WINIFRED WAY",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864045959",
            "telephone_number": "219-682-8738",
            "fax_number": "928-466-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3662 N WINIFRED WAY",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864045959",
            "telephone_number": "219-682-8738",
            "fax_number": "928-466-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMIG",
        "first_name": "DANIEL",
        "middle_name": "RAWN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01063013A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200827270",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00413504",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

Verify at the official NPI Registry.