Active NPI
Ian Daniel, MD
- Surgery Physician
- Greenville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- Q1971
- Practice address
- 4211 Joe Ramsey Blvd E Ste 100
Greenville, TX 75401-7856 - Phone
- (903) 408-5770
- Fax
- (903) 408-5779
- NPI assigned
- Jun 23, 2009
- Last updated
- Jan 31, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 33454 | OK | |
| Surgery Physician | 208600000X | 125-056350 | IL | |
| Surgery Physician | 208600000X | Q1971 | TX | Primary |
Addresses
Primary practice location
4211 Joe Ramsey Blvd E Ste 100
Greenville, TX 75401-7856
Mailing address
501 Air Park Ave
Greenville, TX 75402-3000
Phone (903) 408-5834
Other practice location 1
4827 S Western Ave
Oklahoma City, OK 73109-3835
Phone (405) 632-4252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OK
- 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
- General Surgery
- Education
- University of Oklahoma College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 W 1St St
Elk City, OK 73644-3133
1801 W 3Rd St
Elk City, OK 73644-5145
Phone (580) 225-2511
1819 W 3Rd St
Elk City, OK 73644-5145
Phone (580) 225-2511
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 48 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 33 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125-056350 | IL | MD | Surgery Physician |
| 33454 | OK | MD | Surgery Physician |
| Q1971 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma Surgical Group, PLLC | Surgery | Current | Accepting new patients |
| Farmers Union Hospital Association | Current | Accepting new patients | |
| Farmers Union Hospital Association | Current | Accepting new patients | |
| Hunt Regional Medical Partners Specialists | Current | Accepting new patients | |
| Hunt Memorial Hospital District | Current | Accepting new patients | |
| Hunt Memorial Hospital District | Current | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Locations
1800 W 1st St
Ste 3
Elk City, OK 73644
Phone (580) 225-4699
1801 W 3rd St
Elk City, OK 73644
Phone 5802255403677
2525 NW Expressway
Ste 610
Oklahoma City, OK 73112
Phone (405) 242-2181
4211 Joe Ramsey Blvd E
Ste 100
Greenville, TX 75401
Phone (903) 408-7700
4215 Ramsey Blvd E
Greenville, TX 75401
Phone (903) 408-1470
501 Air Park Ave
Greenville, TX 75402
Phone (800) 806-2067
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EEAHBA
- iandaniel@danielsurgicalcare.kareodirect.com
- idaniel300193@direct-ehr-ssmhc.com
Organizations & group practices 7
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.
-
dba Great Plains Regional Medical Center
- General Acute Care Hospital
- Elk City, OK
- NPI 1184639122
-
- Specialist
- Greenville, TX
- NPI 1275031205
-
- Surgery Physician
- Oklahoma City, OK
- NPI 1013298470
-
dba Hunt Regional
- General Acute Care Hospital
- Greenville, TX
- NPI 1598750721
-
dba Royse City Medical Lodge
- Skilled Nursing Facility
- Royse City, TX
- NPI 1750833901
-
dba Great Plains Pat Wall Clinic
- Rural Health Clinic/Center
- Elk City, OK
- NPI 1114421492
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Great Plains Medical Clinic
- Rural Health Clinic/Center
- Elk City, OK
- NPI 1023512308
Hospital
-
dba Great Plains Pat Wall Clinic
- Rural Health Clinic/Center
- Elk City, OK
- NPI 1114421492
Hospital
-
dba Great Plains Regional Medical Center
- General Acute Care Hospital
- Elk City, OK
- NPI 1184639122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738281600000",
"number": "1205064730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 AIR PARK AVE",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "754023000",
"telephone_number": "903-408-5834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4211 JOE RAMSEY BLVD E STE 100",
"city": "GREENVILLE",
"state": "TX",
"postal_code": "754017856",
"telephone_number": "903-408-5770",
"fax_number": "903-408-5779"
}
],
"practiceLocations": [
{
"address_1": "4827 S Western Ave",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731093835",
"country_code": "US",
"telephone_number": "405-632-4252",
"fax_number": "405-632-6166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANIEL",
"first_name": "IAN",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-23",
"last_updated": "2025-01-31",
"certification_date": "2025-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OK",
"license": "33454",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "125-056350",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "Q1971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.