Active NPI
Med Dan, MD
- Family Medicine Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 77620
- Practice address
- 2720 S 6TH Ave
Tucson, AZ 85713-4701 - Phone
- (520) 475-5418
- Fax
- (520) 300-8034
- NPI assigned
- Jul 5, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 30287 | WV | |
| Family Medicine Physician | 207Q00000X | MD165962 | OR | |
| Family Medicine Physician | 207Q00000X | ME178888 | FL | |
| Family Medicine Physician | 207Q00000X | 77620 | AZ | Primary |
Addresses
Primary practice location
2720 S 6TH Ave
Tucson, AZ 85713-4701
Mailing address
309 57TH St
Vienna, WV 26105-2021
Phone (207) 766-6404
Other practice location 1
2820 NE 214th St Ste 801
Aventura, FL 33180-1269
Phone (888) 802-2270
Other practice location 2
9700 N 91st St Ste A115
Scottsdale, AZ 85258-5036
Phone (888) 833-3370
Other practice location 3
400 N Tampa St Fl 15
Tampa, FL 33602-4730
Phone (207) 766-6404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
331 1St St a
San Francisco, CA 94105-2661
5301 E Grant Rd
Tucson, AZ 85712-2805
Hospital & facility affiliations
- Camden Clark Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77620 | AZ | MD | Family Medicine Physician |
| ME178888 | FL | MD | Family Medicine Physician |
| 30287 | WV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camden-Clark Physician Corporation | Current | Accepting new patients | |
| Camden Clark Memorial Hospital Corporation | Past | Accepting new patients | |
| Codac Health Recovery and Wellness | Past | Accepting new patients | |
| Oak Street Health Physicians Group of Arizona PLLC | Family Medicine | Past | Accepting new patients |
Locations
800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161
800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405
108 Osprey Dr
Ste A
Williamstown, WV 26187
Phone (304) 865-5100
Interoperability endpoints
- mmesgena203608@direct.wvuhsdirect.com
Organizations & group practices 6
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.
-
- Surgery Physician
- Parkersburg, WV
- NPI 1710125430
-
- Primary Care Clinic/Center
- Apache Junction, AZ
- NPI 1063083590
Family Medicine
-
- Multi-Specialty Clinic/Center
- Tucson, AZ
- NPI 1750832283
-
- Community/Behavioral Health Agency
- Tucson, AZ
- NPI 1033156567
-
- General Acute Care Hospital
- Parkersburg, WV
- NPI 1699704254
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Parkersburg, WV
- NPI 1508160268
-
- General Acute Care Hospital
- Parkersburg, WV
- NPI 1699704254
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777852800000",
"number": "1154618650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 57TH ST",
"city": "VIENNA",
"state": "WV",
"postal_code": "261052021",
"telephone_number": "207-766-6404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 S 6TH AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857134701",
"telephone_number": "520-475-5418",
"fax_number": "520-300-8034"
}
],
"practiceLocations": [
{
"address_1": "2820 NE 214th St Ste 801",
"address_purpose": "LOCATION",
"city": "Aventura",
"state": "FL",
"postal_code": "331801269",
"country_code": "US",
"telephone_number": "888-802-2270",
"fax_number": "888-803-3331",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9700 N 91st St Ste A115",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852585036",
"country_code": "US",
"telephone_number": "888-833-3370",
"fax_number": "888-803-3331",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 N Tampa St Fl 15",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336024730",
"country_code": "US",
"telephone_number": "207-766-6404",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAN",
"first_name": "MED",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-05",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "30287",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD165962",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME178888",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "77620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.