Individual provider Active NPI

Daniel Daniels, M.D.

  • Gastroenterology Physician
  • Frederick, MD
National Provider Identifier
1174631352
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D0066830 Issued in MD
Practice address
194 Thomas Johnson Dr
Frederick, MD 21702-4679
Phone
(240) 575-2526
NPI assigned
Aug 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D66830 MD
Gastroenterology Physician 207RG0100X D0066830 MD Primary

Addresses

Primary practice location

194 Thomas Johnson Dr
Frederick, MD 21702-4679

Mailing address

400 W 7TH St
Frederick, MD 21701-4506
Phone (240) 643-6070

Other practice location 1

560 Riverside Dr
Suite A 206
Salisbury, MD 21801-4700
Phone (410) 912-5640

Other practice location 2

501 W 7th St
Frederick, MD 21701-4586
Phone (240) 575-2526

Other practice location 3

7211 Bank Ct
Frederick, MD 21703-8483
Phone (240) 575-2526

Other practice location 4

3430 Worthington Blvd
Frederick, MD 21704-7017
Phone (240) 575-2526

Other practice location 5

1562 Opossumtown Pike
Frederick, MD 21702-4920
Phone (240) 575-2526

Other practice location 6

504 E Ridgeville Blvd
Mount Airy, MD 21771-5942
Phone (240) 575-2526

Other practice location 7

75 Thomas Johnson Dr
Frederick, MD 21702-4895
Phone (240) 575-2526

Other identifiers 2

IdentifierTypeStateIssuer
D66830OtherMDSTATE LICENSE
016093800MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20080930000501 MD Practitioner - Gastroenterology 9032128996 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidalhealth Specialty Care LLCGroup PAC ID 7113340845, 375 clinicians

Practice addresses (Care Compare)

100 E Carroll St
Salisbury, MD 21801-5422

1630 Woodbrooke Dr
Salisbury, MD 21804-8501

1640 Woodbrooke Dr
Salisbury, MD 21804-8501
Phone (410) 912-5640

Hospital & facility affiliations

  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019
  • Tidalhealth Nanticoke, Inc. Hospital, Seaford, DE, CCN 080006
  • Atlantic General Hospital Hospital, Berlin, MD, CCN 210061

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy250
Upper gastrointestinal (GI) endoscopy for acid reflux248

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Medical Group LLC CurrentSince Jul 8, 2022 Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince Sep 1, 2020 Accepting new patients
Frederick Health Medical Group LLC CurrentSince Jul 8, 2022 Accepting new patients
Tidalhealth Peninsula Regional, Inc. Internal Medicine Current Accepting new patients
Tidalhealth Peninsula Regional, Inc. CurrentSince Nov 9, 2010 Accepting new patients
Tidalhealth Peninsula Regional, Inc. CurrentSince Nov 9, 2010 Accepting new patients
Frederick Health Medical Group LLC Internal Medicine Current Accepting new patients
Delmarva Endoscopy Center LLC PastSince Aug 7, 2018 Accepting new patients
Daniel K Daniels PastSince Jan 1, 1990 Accepting new patients
Tidalhealth Specialty Care, LLC Past Accepting new patients
J O Meadows MD PA Gastroenterology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

194 Thomas Johnson Dr
Frederick, MD 21702
Phone (240) 215-6370

501 W 7th St
Frederick, MD 21701
Phone (301) 360-2574

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

75 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 631-3674

1562 Opossumtown Pike
Frederick, MD 21702
Phone (240) 566-4500

504 E Ridgeville Blvd
Mount Airy, MD 21771
Phone (301) 703-5452

560 Riverside Dr
Ste A206
Salisbury, MD 21801
Phone (301) 284-8917

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

106 Milford St
Ste 201
Salisbury, MD 21804
Phone (410) 543-1616

1640 Woodbrooke Dr
Salisbury, MD 21804
Phone (410) 912-5640

145 E Carroll St
Salisbury, MD 21801
Phone (410) 546-6400

3430 Worthington Blvd
Urbana, MD 21704
Phone (240) 874-2530

Organizations & group practices 12

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 3

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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1174631352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W 7TH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014506",
            "telephone_number": "240-643-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 THOMAS JOHNSON DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024679",
            "telephone_number": "240-575-2526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 Riverside Dr",
            "address_2": "Suite A 206",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218014700",
            "country_code": "US",
            "telephone_number": "410-912-5640",
            "fax_number": "410-912-5641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 W 7th St",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217014586",
            "country_code": "US",
            "telephone_number": "240-575-2526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7211 Bank Ct",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217038483",
            "country_code": "US",
            "telephone_number": "240-575-2526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3430 Worthington Blvd",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217047017",
            "country_code": "US",
            "telephone_number": "240-575-2526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1562 Opossumtown Pike",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024920",
            "country_code": "US",
            "telephone_number": "240-575-2526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "504 E Ridgeville Blvd",
            "address_purpose": "LOCATION",
            "city": "Mount Airy",
            "state": "MD",
            "postal_code": "217715942",
            "country_code": "US",
            "telephone_number": "240-575-2526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Thomas Johnson Dr",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024895",
            "country_code": "US",
            "telephone_number": "240-575-2526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D66830",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D0066830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "D66830",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016093800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.