Individual provider Active NPI

Daniel L Southren, MD

  • Anesthesiology Physician
  • Philadelphia, PA
National Provider Identifier
1144600073
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
278076 Issued in MA
Practice address
3400 Spruce St
Philadelphia, PA 19104-4238
Phone
(215) 893-7246
Fax
(215) 893-7270
NPI assigned
Jun 5, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X MD469916 PA
Anesthesiology Physician 207L00000X 278076 MA Primary

Addresses

Primary practice location

3400 Spruce St
Philadelphia, PA 19104-4238

Mailing address

3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 893-7246

Other practice location 1

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 856-3271

Other practice location 2

119 Belmont St
Worcester, MA 01605-2903
Phone (508) 856-3271

Other identifiers 1

IdentifierTypeStateIssuer
110152585AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 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
I20190522002411 MA Practitioner - Anesthesiology 1254646284 Reassigns benefits to 8 organizations
I20240307001809 NH Practitioner - Anesthesiology 1254646284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BMC Affiliated Physicians, Inc.Group PAC ID 9830133123, 543 clinicians

Practice addresses (Care Compare)

235 N Pearl St
Brockton, MA 02301-1794
Phone (508) 427-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD469916PAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Aug 1, 2024 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is Anesthesiology CurrentSince Sep 1, 2022 Accepting new patients
North American Partners in Anesthesia Massachusetts LLC Anesthesiology CurrentSince Nov 4, 2022 Accepting new patients
Cambridge Public Health Commission Current Accepting new patients
Lawrence Anesthesia Services, LLC Anesthesiology CurrentSince Jul 1, 2023 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Sep 1, 2022 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Jan 1, 2026 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Steward Medical Group, Inc Anesthesiology CurrentSince Nov 15, 2019 Accepting new patients
Brigham & Womens Physicians Organization Inc Anesthesiology CurrentSince Aug 22, 2022 Accepting new patients
Hospitalist Medicine Physicians of New York - Patchogue PC Anesthesiology CurrentSince Feb 26, 2024 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 15, 2019 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is Current Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Anesthesiology CurrentSince Aug 1, 2024 Accepting new patients
Umass Memorial Medical Group Inc Anesthesiology CurrentSince Jan 1, 2026 Accepting new patients
BMC Affiliated Physicians, Inc. CurrentSince Jul 9, 2025 Accepting new patients

Locations

138 Haverhill St
Andover, MA 01810
Phone (978) 296-2302

55 Fruit St
Boston, MA 02114

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

75 Francis St
Boston, MA 02115

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734

300D Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 998-6683

800 Washington St
Norwood, MA 02062
Phone (781) 278-6264

119 Belmont St
Worcester, MA 01605
Phone (508) 334-6345

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

123 Summer St
Worcester, MA 01608
Phone (508) 363-6000

10 Prospect St
Ste 101
Nashua, NH 03060
Phone (603) 578-9909

8 Prospect St
Nashua, NH 03060
Phone (603) 281-9275

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

3400 Convention Ave
Philadelphia, PA 19104
Phone (215) 662-2300

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

Interoperability endpoints

  • Direct secure messaging: dsouthren117764@direct.challiance.masshiway.net

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

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": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1144600073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-893-7246",
            "fax_number": "215-893-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-893-7246",
            "fax_number": "215-893-7270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Lake Ave N",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016550002",
            "country_code": "US",
            "telephone_number": "508-856-3271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 Belmont St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016052903",
            "country_code": "US",
            "telephone_number": "508-856-3271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUTHREN",
        "first_name": "DANIEL",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-05",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "MD469916",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "278076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110152585A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.