NPIMap

Individual provider Active NPI

Daniel Dean Washburn, MD

  • Internal Medicine Physician
  • Enid, OK
National Provider Identifier
1013901461
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11337 Issued in OK
Practice address
615 E Oklahoma Ave Ste 208
Enid, OK 73701-5952
Phone
(580) 242-3090
Fax
(580) 234-2090
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 11337 OK
Internal Medicine Physician 207R00000X 11337 OK Primary

Addresses

Primary practice location

615 E Oklahoma Ave Ste 208
Enid, OK 73701-5952

Mailing address

PO Box 3046
Malvern, PA 19355-0746
Phone (580) 242-3090

Other identifiers 2

IdentifierTypeStateIssuer
P01284450OtherOKRR MEDICARE
100253320DMedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051212000718 OK Practitioner - Internal MedicinePractitioner - Endocrinology 9032139829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
University of Oklahoma College of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Physician Associates LLCGroup PAC ID 3678672276, 28 clinicians

Practice addresses (Care Compare)

310 E Owen K Garriott Rd
Enid, OK 73701-5712
Phone (580) 249-3795

314 E Owen K Garriott Rd
St Mary'S Podiatry Clinic
Enid, OK 73701-5712
Phone (580) 249-3795

330 S 5TH St
Suite 401
Enid, OK 73701-5863
Phone (580) 249-3898

Hospital & facility affiliations

  • Elara Caring V Home health agency, Enid, OK, CCN 377714
  • Complete Home Health of Western Oklahoma Home health agency, Enid, OK, CCN 377167
  • Traditions Health of Enid Home health agency, Enid, OK, CCN 377589
  • Hospice Circle of Love Hospice, Enid, OK, CCN 371501
  • St Mary'S Regional Medical Center Hospital, Enid, OK, CCN 370026
  • Share Medical Center Hospital, Alva, OK, CCN 371341
  • Fairview Regional Medical Center Authority Hospital, Fairview, OK, CCN 371329
  • Stillwater Medical Center Hospital, Stillwater, OK, CCN 370049
  • Integris Health Enid Hospital Hospital, Enid, OK, CCN 370016
  • The Commons Nursing home, Enid, OK, CCN 375488

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
87.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11337OKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Springs Internal Medicine Inc Current Accepting new patients
St. Mary'S Physician Associates, LLC CurrentSince Jun 1, 2013 Accepting new patients
St. Mary'S Physician Associates, LLC Internal Medicine CurrentSince Jun 1, 2013 Accepting new patients
Uhs of Oklahoma, LLC Past Accepting new patients
Uhs of Oklahoma Inc Past Accepting new patients
Commons Operations LLC Past Accepting new patients
United Methodist Home of Enid, Inc Past Accepting new patients
PF Garland SNF Ops, LLC PastSince Apr 30, 2003 Accepting new patients
Daniel D. Washburn, M.D. Internal Medicine PastSince Jan 1, 1990 Accepting new patients

Locations

615 E Oklahoma Ave
Ste 208
Enid, OK 73701
Phone (580) 242-3090

330 S 5th St
Ste 401
Enid, OK 73701
Phone (580) 233-9700

305 S 5th St
Enid, OK 73701
Phone (580) 233-6100

615 E Oklahoma Ave
#5004
Enid, OK 73701
Phone (580) 242-3090

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The CommonsEnid, OK, CCN 375488 Skilled nursing facility Adp of the SNF Dec 31, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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.

Hospital & facility affiliations 10

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": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1013901461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3046",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193550746",
            "telephone_number": "580-242-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E OKLAHOMA AVE STE 208",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015952",
            "telephone_number": "580-242-3090",
            "fax_number": "580-234-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHBURN",
        "first_name": "DANIEL",
        "middle_name": "DEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OK",
            "license": "11337",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "11337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01284450",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100253320D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.