Daniella Atieno Odero

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

5501 Old York Rd # 505
Philadelphia, PA 19141-3018

Phone

(215) 456-7453

NPI assigned

Dec 12, 2022

Last updated

Dec 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Professional Services of Holy CrossGroup PAC ID 3779516992, 159 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holy Cross Hospital Hospital, Silver Spring, MD, CCN 210004

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Professional Services of Holy Cross

  • Health Service Clinic/Center
  • Silver Spring, MD
  • NPI 1487692828

  DC

  Medicare reassignment Care Compare group
• Professional Services of Holy Cross

  dba Holy Cross Health Partners in Rockville

  • Health Service Clinic/Center
  • Rockville, MD
  • NPI 1619787454
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Holy Cross Health, Inc

  dba Holy Cross Hospital

  • General Acute Care Hospital
  • Silver Spring, MD
  • NPI 1669417838
  Care Compare affiliation
• Holy Cross Health, Inc.

  dba Holy Cross Health Lab Outreach

  • Clinical Medical Laboratory
  • Silver Spring, MD
  • NPI 1831574284

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1174234116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 CRESSON ST APT 6",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 OLD YORK RD # 505",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413018",
            "telephone_number": "215-456-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODERO",
        "first_name": "DANIELLA",
        "middle_name": "ATIENO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loren Odam, MD
• Jessilene Odango, AGACNP
• Elisheba Odei, MD
• Terryann Odeleye
• Vincent Odenigbo, MD
• Aderinsola Oluwasikemi Odetunde, MD
• Ursula N Odimara, DNP, PMHNP-BC
• Charles Odion, D.D.S.
• Jack Armstrong Odiorne
• Daria Odom, LSW

• Physician Assistant in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.

Verify at the official NPI Registry.