Individual provider Active NPI

Daniel Patrick Dansdill, M.D.

  • Ophthalmology Physician
  • Phoenix, AZ
National Provider Identifier
1013449024
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
66306 Issued in AZ
Practice address
4800 N 22ND St Ste 120
Phoenix, AZ 85016-4962
Phone
(602) 955-1000
Fax
(602) 508-4830
NPI assigned
Mar 29, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2021024751 MO
Student in an Organized Health Care Education/Training Program 390200000X IL
Ophthalmology Physician 207W00000X 66306 AZ Primary

Addresses

Primary practice location

4800 N 22ND St Ste 120
Phoenix, AZ 85016-4962

Mailing address

4800 N 22ND St Ste 210
Phoenix, AZ 85016-4963
Phone (602) 955-1000

Other practice location 1

1055 S Stapley Dr
Mesa, AZ 85204-5098
Phone (480) 892-8400

Other identifiers 2

IdentifierTypeStateIssuer
121982MedicaidAZ
200056646MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220614002764 AZ Practitioner - Ophthalmology 9234532391 Reassigns benefits to 2 organizations
I20260603000173 IL Practitioner - Ophthalmology 9234532391

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loyola University of Chicago, Stritch School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwestern Eye Center LTDGroup PAC ID 1850296989, 116 clinicians
Barnet Dulaney Perkins Eye Center, PCGroup PAC ID 0749288298, 104 clinicians

Practice addresses (Care Compare)

1055 S Stapley Dr
Mesa, AZ 85204-5013
Phone (480) 833-9100

4800 N 22ND St
Suite 120
Phoenix, AZ 85016-4962
Phone (602) 955-1000

Merit-based Incentive Payment System (MIPS)

Final score
83.86 of 100Reported as group
Quality
81.82
Promoting interoperability
100
Improvement activities
40
Cost
64.4

Merit-based Incentive Payment System (MIPS)

Final score
88.66 of 100Reported as group
Quality
84.9
Promoting interoperability
100
Improvement activities
40
Cost
77.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery439

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66306AZMDOphthalmology Physician
2021024751MOMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barnet Dulaney Perkins Eye Center, PC Ophthalmology CurrentSince May 1, 2022 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince May 1, 2022 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Ophthalmology Current Accepting new patients
Southwestern Eye Center LTD Ophthalmology CurrentSince May 1, 2022 Accepting new patients
Southwestern Eye Center, LTD CurrentSince May 1, 2022 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Ophthalmology Past Accepting new patients

Locations

110 S Idaho Rd
Ste 160
Apache Junction, AZ 85119
Phone (480) 982-0241

3003 Highway 95
Ste 63
Bullhead City, AZ 86442
Phone (928) 763-7555

855 S Dobson Rd
Ste 1
Chandler, AZ 85224

270 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-4202

5323 N 99th Ave
Ste 155
Glendale, AZ 85305
Phone (623) 250-7377

1626 N Litchfield Rd
Ste 110
Goodyear, AZ 85395
Phone (817) 995-2500

1151 S La Canada Dr
Ste 200
Green Valley, AZ 85614
Phone (520) 625-8562

4760 E Falcon Dr
Ste 101
Mesa, AZ 85215
Phone (480) 985-7400

6705 E McDowell Rd
Mesa, AZ 85215
Phone (480) 985-7400

1055 S Stapley Dr
Mesa, AZ 85204
Phone (480) 833-9100

1114 S Higley Rd
Mesa, AZ 85206
Phone (480) 264-2295

5250 E Southern Ave
Mesa, AZ 85206
Phone (480) 420-1005

4800 N 22nd St
Ste 120
Phoenix, AZ 85016

4800 N 22nd St
Ste 210
Phoenix, AZ 85016
Phone (602) 598-7488

825 S 20th Ave
Safford, AZ 85546
Phone (928) 428-6930

4921 E Bell Rd
Ste 102
Scottsdale, AZ 85254
Phone (602) 548-6500

2370 W State Route 89A
Ste 16A17A18
Sedona, AZ 86336
Phone (928) 282-1231

10615 W Thunderbird Blvd
Ste 100
Sun City, AZ 85351
Phone (623) 933-3024

14820 N Del Webb Blvd
Sun City, AZ 85351

10615 W Thunderbird Blvd
Ste A100
Sun City, AZ 85351
Phone (623) 977-9600

14239 W Bell Rd
Ste 216
Surprise, AZ 85374

698 E Wetmore Rd
Ste 100
Tucson, AZ 85705
Phone (520) 690-5707

5632 E 5th St
Tucson, AZ 85711
Phone (520) 584-8888

2149 W 24th St
Yuma, AZ 85364
Phone (928) 726-1100

275 W 28th St
Yuma, AZ 85364
Phone (928) 329-5011

Networks

  • NM HMO C-SNP

Interoperability endpoints

  • Direct secure messaging: ddansdill232670@direct.saint-lukes.org
  • Direct secure messaging: dan.dansdill.p11@direct.avp.nextgenshare.com
  • Direct secure messaging: dan.dansdill.p20@direct.avp.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1013449024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N 22ND ST STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164963",
            "telephone_number": "602-955-1000",
            "fax_number": "602-508-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 N 22ND ST STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164962",
            "telephone_number": "602-955-1000",
            "fax_number": "602-508-4830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 S Stapley Dr",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852045098",
            "country_code": "US",
            "telephone_number": "480-892-8400",
            "fax_number": "602-508-4830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANSDILL",
        "first_name": "DANIEL",
        "middle_name": "PATRICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "2021024751",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "66306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121982",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200056646",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.