Individual provider Active NPI

Daniel S Woolley, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Du Bois, PA
National Provider Identifier
1104879709
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
MD-051074-L Issued in PA
Practice address
145 Hospital Ave
Suite 206
Du Bois, PA 15801-1462
Phone
(814) 375-2040
Fax
(814) 375-2045
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD-051074-L PA Primary

Addresses

Primary practice location

145 Hospital Ave
Suite 206
Du Bois, PA 15801-1462

Mailing address

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-2040

Other identifiers 1

IdentifierTypeStateIssuer
101348670MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DANIEL.WOOLLEY@hca6.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20140707002125 VA Practitioner - Thoracic SurgeryPractitioner - General SurgeryPractitioner - Surgical OncologyPractitioner - Cardiac Surgery 8123064748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery
Education
Temple University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiac Surgical Associates LLCGroup PAC ID 7416012448, 20 clinicians

Practice addresses (Care Compare)

7101 Jahnke Rd
Suite 500
Richmond, VA 23225-4017
Phone (804) 320-2751

930 S Ave
Suite 4C
Colonial Heights, VA 23834-3620
Phone (804) 320-2751

Hospital & facility affiliations

  • HCA Virginia Healthcare at Home Home health agency, North Chesterfield, VA, CCN 497625
  • CJW Medical Center Hospital, Richmond, VA, CCN 490112
  • Bon Secours Southside Medical Center Hospital, Petersburg, VA, CCN 490067
  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118
  • John Randolph Medical Center Hospital, Hopewell, VA, CCN 490020

Merit-based Incentive Payment System (MIPS)

Final score
89.09 of 100Reported as group
Quality
80.52
Promoting interoperability
100
Improvement activities
40
Cost
78.32

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-051074-LPAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Surgical Associates, LLC CurrentSince Aug 18, 2014 Accepting new patients
St. Joseph Medical Group Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
Cardiac & Thoracic Surgical Associates, LTD Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

7605 Forest Ave
Ste 202
Richmond, VA 23229

7605 Forest Ave
Ste 302
Richmond, VA 23229
Phone (804) 282-8777

7101 Jahnke Rd
Ste 500
Richmond, VA 23225
Phone (804) 272-4761

5388 Discovery Park Blvd
Ste 120A
Williamsburg, VA 23188

Organizations & group practices 3

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 5

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1104879709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011440",
            "telephone_number": "814-375-2040",
            "fax_number": "814-375-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 HOSPITAL AVE",
            "address_2": "SUITE 206",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011462",
            "telephone_number": "814-375-2040",
            "fax_number": "814-375-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLLEY",
        "first_name": "DANIEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "PA",
            "license": "MD-051074-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101348670",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DANIEL.WOOLLEY@hca6.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "145 Hospital Ave",
            "address_2": "SUITE 206",
            "city": "Du Bois",
            "state": "PA",
            "country_code": "US",
            "postal_code": "158011462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.