Individual provider Active NPI

John N Daniel, MD

  • Family Medicine Physician
  • Puyallup, WA
National Provider Identifier
1083788160
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
WA37757 Issued in WA
Practice address
801 E Main Street
Puyallup, WA 98372-3365
Phone
(253) 845-4934
Fax
(253) 845-9289
NPI assigned
Nov 20, 2006
Last updated
Jan 19, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X WA37757 WA Primary
Sleep Medicine (Family Medicine) Physician 207QS1201X MD 00037757 WA

Addresses

Primary practice location

801 E Main Street
Puyallup, WA 98372-3365

Mailing address

801 E Main Street
Puyallup, WA 98372-3365
Phone (253) 845-4934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040503001668 WA Practitioner - Family Practice 0143116723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1001 Eastside St SE
Olympia, WA 98501-1608
Phone (360) 754-9090

801 E Main St
Puyallup, WA 98372-3365
Phone (253) 845-4934

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.82 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.05

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
WA37757WAMDFamily Medicine Physician
MD 00037757WAMDSleep Medicine (Family Medicine) Physician

Organizations & group practices 1

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

Hospital & facility affiliations 2

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1083788160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E MAIN STREET",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723365",
            "telephone_number": "253-845-4934",
            "fax_number": "253-845-9289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E MAIN STREET",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723365",
            "telephone_number": "253-845-4934",
            "fax_number": "253-845-9289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "JOHN",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "WA37757",
            "primary": true
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "WA",
            "license": "MD 00037757",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.