Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DANICA NATASHA BARRON-DHILLON MD
NPI 1316025935
Emergency Medicine in Roswell, NM

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
80.58/100
CMS Quality Rating
117 E 19TH ST, ROSWELL, NM 88201(575) 627-7000 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 15, 2026, Feb 24, 2025, Dec 9, 2024 and 2 more (5 updates tracked since 2021).

About Dr. Danica Natasha Barron-dhillon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DANICA NATASHA BARRON-DHILLON MD (NPI 1316025935) is an individual emergency medicine provider in Roswell, New Mexico, licensed in New Mexico (MD2017-0788) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Providence Newberg Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1316025935
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. DANICA NATASHA BARRON-DHILLONCredential: MD
Location Address117 E 19TH STRoswell, NM 88201-5151
Mailing Address1800 Versailles AveAlameda, CA 94501-1653 · (510) 928-8400
Sole ProprietorYes
Medical School CMSYale University School Of MedicineGraduated 1999
Enumeration DateNovember 1, 2006
Last NPPES UpdateOctober 15, 20265 updates tracked since enumeration
NPPES CertifiedOctober 15, 2026
✔ NPI 1316025935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NM · MD2017-0788✔ Licensed in AK · 159653✔ Licensed in MT · 148641✔ Licensed in CA · A74493
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
117 E 19TH ST, Roswell, NM 88201

Other Names 1

Former Name (1)Dr. Danica Natasha Barron

Secondary Practice Locations 2

Location 11800 Versailles AveAlameda, CA 94501-1653 · Phone (510) 928-8400
Location 23100 Tongass AveKetchikan, AK 99901-5746 · Phone (907) 225-5171 · Fax (907) 370-2533

Other Identifiers 1

Medicaid00A744930CA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Danica Natasha Barron-dhillon Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921295064
PECOS Enrollment IDI20101215000233
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

10

Medicare enrollment records show Danica Barron-dhillon reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
2450 S. TELSHOR BLVD
Las Cruces, NM 88011
  • Reassigned Medicare billing, New Mexico enrollment
  • 183 clinicians in this Medicare group
Clinic/Center
9A CLARENCE WESLEY HEALTH CENTER LOOP
Bylas, AZ 85530
  • Reassigned Medicare billing, Texas enrollment
  • 438 clinicians in this Medicare group
Emergency Medicine
911 SUNSET DR
Hollister, CA 95023
  • Reassigned Medicare billing, California enrollment
  • 38 clinicians in this Medicare group
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
7475 CAMINO ARROYO
Gilroy, CA 95020
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1629301346 (California), NPI 1043354020 (California)
  • 2,460 clinicians in this Medicare group
Emergency Medicine
2105 FOREST AVE
San Jose, CA 95128
  • Reassigned Medicare billing, California enrollment
  • 197 clinicians in this Medicare group
Multi-Specialty
1401 25TH ST S
Great Falls, MT 59405
  • Reassigned Medicare billing, Montana enrollment
  • 637 clinicians in this Medicare group
Clinical Pathology
1001 PROVIDENCE DR
Newberg, OR 97132
  • Reassigned Medicare billing, Oregon enrollment
  • 198 clinicians in this Medicare group
Emergency Medicine
3100 TONGASS AVE
Ketchikan, AK 99901
  • Reassigned Medicare billing, Alaska enrollment
  • 26 clinicians in this Medicare group
Emergency Medicine
3100 TONGASS AVE
Ketchikan, AK 99901
  • Reassigned Medicare billing, Alaska enrollment
  • 35 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
26 services25 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence Newberg Medical Center

Acute Care Hospitals · Newberg, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380037
Location1001 Providence DriveNewberg, OR 97132 · Yamhill County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.43
Promoting Interoperability100
Improvement Activities40
Cost46.5

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
117 E 19TH ST
ROSWELL, NM 88201
Pediatrics (Neonatal-Perinatal Medicine)
117 E 19TH ST
ROSWELL, NM 88201
Anesthesiology
117 E 19TH ST
ROSWELL, NM 88201
General Acute Care Hospital
117 E 19TH ST
ROSWELL, NM 88201
General Acute Care Hospital
117 E 19TH ST
ROSWELL, NM 88201
Clinic/Center (Radiology)
117 E 19TH ST
ROSWELL, NM 88201
Anesthesiology
117 E 19TH ST
ROSWELL, NM 88201
Emergency Medicine
117 E 19TH ST
ROSWELL, NM 88201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Danica Barron-dhillon's NPI number?

The NPI number for Danica Barron-dhillon is 1316025935. It was assigned to this individual provider in the NPPES registry on November 1, 2006. The provider is also known as Dr. Danica Natasha Barron.

Where is Danica Barron-dhillon located?

Danica Barron-dhillon practices at 117 E 19th St, Roswell, NM 88201. The listed phone number is (575) 627-7000.

What is Danica Barron-dhillon's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Danica Barron-dhillon enrolled in Medicare?

Yes. Danica Barron-dhillon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Danica Barron-dhillon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Danica Barron-dhillon reassigns Medicare benefits to 10 organizations: Southwest Emergency Medical Associates Of Nm PC (Las Cruces, NM), San Carlos Apache Healthcare Corporation (Bylas, AZ), Big River Emergency Physicians Inc (Hollister, CA), Permanente Medical Group Inc (Stockton, CA), County Of Santa Clara (Gilroy, CA) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Danica Barron-dhillon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Danica Barron-dhillon accept?

Health plans from Ambetter Health, Kaiser Permanente, Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Danica Barron-dhillon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Danica Barron-dhillon affiliated with any hospitals?

According to CMS data, Danica Barron-dhillon is affiliated with Providence Newberg Medical Center.

When was this NPI record last updated?

The NPPES record for Danica Barron-dhillon was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.