DR. NATALIE HOUSTON DANIELS M.D. NPI 1396880019

Dermatology in Louisville, KY

NPI 1396880019 Individual Female Years of Experience 19 Dermatology PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About NATALIE DANIELS

Natalie Daniels is a provider established in Louisville, Kentucky and her medical specialization is dermatology with more than 19 years of experience. She graduated from University Of Louisville School Of Medicine in 2003. The NPI number of Natalie Daniels is 1396880019 and was assigned on February 2007. The practitioner's primary taxonomy code is 207N00000X with license number R0692 (KY). The provider is registered as an individual and her NPI record was last updated 7 years ago.

A dermatologist like Dr. Natalie Houston Daniels M.d. is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

Natalie Daniels is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Natalie Daniels is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: biopsy follow-up, documentation of current medications in the medical record, electronic submission of patient centered medical home accreditation, engagement of patients through implementation of improvements in patient portal, implementation of use of specialist reports back to referring clinician or group to close referral loop, pneumococcal vaccination status for older adults, practice improvements for bilateral exchange of patient information, preventive care and screening: influenza immunization, preventive care and screening: tobacco use: screening and cessation intervention, preventive care and screening: tobacco use: screening and cessation intervention, preventive care and screening: unhealthy alcohol use: screening & brief counseling and tobacco use and help with quitting among adolescents. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1396880019

Provider NameDR. NATALIE HOUSTON DANIELS M.D.
Provider Location Address3594 SPRINGHURST BLVD LOUISVILLE, KY 40241
Provider Mailing Address3594 SPRINGHURST BLVD LOUISVILLE, KY 40241
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year2003
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date02-20-2007
Last Update Date09-10-2014


Primary Taxonomy

Taxonomy Code207N00000X
ClassificationDermatology
TypeAllopathic & Osteopathic Physicians
License No.R0692
License StateKY
Taxonomy DescriptionA dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Business Address

DR. NATALIE HOUSTON DANIELS M.D.
3594 SPRINGHURST BLVD
LOUISVILLE, KY
ZIP 40241
Phone: (502) 368-4133

Get Directions


Mailing Address

DR. NATALIE HOUSTON DANIELS M.D.
3594 SPRINGHURST BLVD
LOUISVILLE, KY
ZIP 40241
Phone: (502) 368-4133



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID3577633387
PECOS Enrollment IDI20080605000651
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 224Destruction of 2-14 skin growths (HCPCS:17003)
  • 84Destruction of skin growth (HCPCS:17000)
  • 51Biopsy of single growth of skin and/or tissue (HCPCS:11100)
  • 29Destruction of up to 14 skin growths (HCPCS:17110)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
Biopsy Follow-Up 3% 100
Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient by the performing physician
Documentation of Current Medications in the Medical Record 97% 2085
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
Pneumococcal Vaccination Status for Older Adults 36% 339
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Preventive Care and Screening: Influenza Immunization 3% 995
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100% 442
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 97% 442
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 93% 442
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
Tobacco Use and Help with Quitting Among Adolescents 92% 218
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
P00689182OTHER (01)KY
9703140OTHER (01)KY
000000569365OTHER (01)KY
41083OTHER (01)KY
0381308MEDICARE PIN (08)KY

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1588776520 KEITH ANDREW FERRY PT
Individual
Physical Therapist3594 SPRINGHURST BLVD
LOUISVILLE, KY 40241
(502) 339-4700
1417029273 ROBIN MCCOLLOUGH P.T.
Individual
Physical Therapist3594 SPRINGHURST BLVD
LOUISVILLE, KY 40241
(502) 339-4700
1013156413DR. JOSEPH MICHAEL STINNETT DPT
Individual
Physical Therapist3594 SPRINGHURST BLVD
LOUISVILLE, KY 40241
(502) 339-4700
1285985903 MARY ANGELIQUE KLONDIKE
Individual
Physical Therapy Assistant3594 SPRINGHURST BLVD
LOUISVILLE, KY 40241
(502) 339-4700
1053644039MRS. SARAH MARIE AARON P.T.
Individual
Physical Therapist3594 SPRINGHURST BLVD
LOUISVILLE, KY 40241
(502) 339-4700

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.