Individual provider Active NPI

Ian Daniel, MD

  • Surgery Physician
  • Greenville, TX
National Provider Identifier
1205064730
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
Q1971 Issued in TX
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, OK2 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
I20150327001261 TX Practitioner - General Surgery 7911224118 Reassigns benefits to 1 organization
I20171220003172 OK Practitioner - General Surgery 7911224118 Reassigns benefits to 2 organizations

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

ProcedureNumber of procedures
Colonoscopy48
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux33
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125-056350ILMDSurgery Physician
33454OKMDSurgery Physician
Q1971TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Surgical Group, PLLC Surgery CurrentSince Dec 1, 2017 Accepting new patients
Farmers Union Hospital Association CurrentSince Jun 1, 2025 Accepting new patients
Farmers Union Hospital Association CurrentSince Jun 1, 2025 Accepting new patients
Hunt Regional Medical Partners Specialists CurrentSince Aug 1, 2022 Accepting new patients
Hunt Memorial Hospital District CurrentSince Jul 22, 2024 Accepting new patients
Hunt Memorial Hospital District CurrentSince Jul 22, 2024 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEAHBA
  • Direct secure messaging: iandaniel@danielsurgicalcare.kareodirect.com
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.