Individual provider Active NPI

Daniel Richard Felling, M.D.

  • Surgical Critical Care Physician
  • Sanford, FL
National Provider Identifier
1134562960
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
MD141370 Issued in FL
Practice address
1401 W Seminole Blvd
Sanford, FL 32771-6743
Phone
(407) 321-4500
NPI assigned
Apr 11, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X MD141370 FL Primary
Surgery Physician 208600000X 4301103396 MI
Student in an Organized Health Care Education/Training Program 390200000X 4301103396 MI
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1401 W Seminole Blvd
Sanford, FL 32771-6743

Mailing address

1401 W Seminole Blvd
Sanford, FL 32771-6743

Other practice location 1

47601 Grand River Ave
Novi, MI 48374-1233
Phone (248) 465-4311

Other practice location 2

1500 E Medical Center Drive
Taubman Center Floor 2, Reception C
Ann Arbor, MI 48109
Phone (349) 365-7387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190814001633 FL Practitioner - General Surgery 6608147392 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Minnesota Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Trauma Services LLCGroup PAC ID 3971985938, 92 clinicians

Practice addresses (Care Compare)

720 W Oak St
Suite 303
Kissimmee, FL 34741-4992
Phone (407) 343-8101

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
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
MD141370FLMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osceola Surgical Associates LLC Surgery CurrentSince Jan 1, 2025 Accepting new patients
Florida Trauma Services, LLC Surgery CurrentSince Oct 11, 2022 Accepting new patients
Osceola Surgical Associates LLC Surgery Past Accepting new patients

Locations

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

320 W Bass St
Ste 320
Kissimmee, FL 34741
Phone (407) 846-3166

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

720 W Oak St
Ste 303
Kissimmee, FL 34741
Phone (407) 343-8101

2450 N Orange Blossom Trl
Kissimmee, FL 34744
Phone (407) 846-4343

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

1887 Kingsley Ave
Ste 1900
Orange Park, FL 32073
Phone (904) 272-9981

1403 Medical Plaza Dr
Ste 102
Sanford, FL 32771
Phone (407) 323-7821

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

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

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: daniel.felling@hca4.eclinicaldirectplus.com

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 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": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1134562960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 W SEMINOLE BLVD",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327716743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W SEMINOLE BLVD",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327716743",
            "telephone_number": "407-321-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47601 Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483741233",
            "country_code": "US",
            "telephone_number": "248-465-4311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 E Medical Center Drive",
            "address_2": "Taubman Center Floor 2, Reception C",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "48109",
            "country_code": "US",
            "telephone_number": "349-365-7387",
            "fax_number": "734-936-5830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELLING",
        "first_name": "DANIEL",
        "middle_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-11",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "FL",
            "license": "MD141370",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301103396",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301103396",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

Verify at the official NPI Registry.