DANA POINT MD NPI 1659665560

NPI Information

  • NPI: 1659665560
  • Provider Name: DANA POINT, MD
  • Classification: Urology - 208800000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4222 LONG BEACH RD SE
    SOUTHPORT, NC
    ZIP 28461
  • Phone: (910) 763-2510

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NPI Details

Dana Point, MD is an urology in Southport, NC with 15 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Dana Point, MD NPI is 1659665560. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduation Year:2011

The provider's business location address is:

4222 LONG BEACH RD SE
SOUTHPORT, NC
ZIP 28461-627
Phone: (910) 763-2510

The NPI 1659665560 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Bcg live intravesical instillation, 1 mg (HCPCS:J9030)
  • Urinalysis, manual test (HCPCS:81002)
  • Detection test by nucleic acid for organism, amplified probe technique (HCPCS:87798)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Leuprolide injectable, camcevi, 1 mg (HCPCS:J1952)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Psa (prostate specific antigen) measurement, total (HCPCS:84153)
  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Instillation of anti-cancer drug into bladder (HCPCS:51720)
  • Detection test for candida species (yeast), amplified probe technique (HCPCS:87481)
  • Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique (HCPCS:87640)
  • Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique (HCPCS:87653)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Imaging of urinary tract following injection of a contrast agent (HCPCS:74420)
  • Leuprolide acetate (for depot suspension), 7.5 mg (HCPCS:J9217)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Testosterone (hormone) level, total (HCPCS:84403)
  • Imaging guidance for procedure, 60 minutes or less (HCPCS:76000)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Insertion of stent in ureter using an endoscope (HCPCS:52332)
  • Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle (HCPCS:96402)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Crushing of stone of ureter with insertion of stent using an endoscope (HCPCS:52356)
  • Biopsy of prostate gland (HCPCS:55700)
  • Injection, garamycin, gentamicin, up to 80 mg (HCPCS:J1580)
  • Instillation, hexaminolevulinate hydrochloride, 100 mg (HCPCS:A9589)
  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope (HCPCS:52601)
  • Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique (HCPCS:87500)
  • Destruction of growth of bladder and urethra using an endoscope, less than 0.5 cm (HCPCS:52224)
  • Prostate resection (HCPCS:NAN14)

The enumeration date for this NPI number is 6/8/2011 and was last updated on 11/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrology2016-00414NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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