Individual provider Active NPI

Med Dan, MD

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1154618650
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
77620 Issued in AZ
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

Updated by the provider on May 4, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, AZ2 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
I20210329002402 WV Practitioner - Family Practice 4385883230 Reassigns benefits to 1 organization
I20260401003706 AZ Practitioner - Family Practice 4385883230 Reassigns benefits to 3 organizations

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 Hospital, Parkersburg, WV, CCN 510058

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
77620AZMDFamily Medicine Physician
ME178888FLMDFamily Medicine Physician
30287WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Camden-Clark Physician Corporation CurrentSince May 1, 2021 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 PastSince Apr 1, 2024 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.