Individual provider Active NPI

Imola Daniel, MD

  • Internal Medicine Physician
  • Worcester, MA
National Provider Identifier
1245460609
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
254567 Issued in MA
Practice address
123 Summer St
Suite 370N
Worcester, MA 01608-1216
Phone
(508) 363-7300
Fax
(508) 363-9688
NPI assigned
Jul 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MEDICAL RESIDENT NY
Internal Medicine Physician 207R00000X 254567 MA Primary
Infectious Disease Physician 207RI0200X 254567 MA

Addresses

Primary practice location

123 Summer St
Suite 370N
Worcester, MA 01608-1216

Mailing address

PO Box 3491
Worcester, MA 01613-3491
Phone (508) 363-7300

Other names 1

  • Dr. Imola Daniel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20130709000240 MA Practitioner - Internal Medicine 3870733207 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Partners in Internal Medicine PCGroup PAC ID 8527081009, 3 clinicians

Practice addresses (Care Compare)

123 Summer St
Worcester, MA 01608-1216
Phone (508) 363-7300

Hospital & facility affiliations

  • Vna Care Network Home health agency, Worcester, MA, CCN 227098
  • St Vincent Hospital Hospital, Worcester, MA, CCN 220176
  • Umass Memorial Medical Center/University Campus Hospital, Worcester, MA, CCN 220163

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MEDICAL RESIDENTNYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Internal Medicine, PC Internal Medicine CurrentSince Jul 1, 2013 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince Dec 1, 2013 Accepting new patients
Athol Memorial Hospital Incorporated CurrentSince Dec 1, 2013 Accepting new patients
Henry Heywood Memorial Hospital CurrentSince Dec 1, 2013 Accepting new patients
Reliant Medical Group, Inc Internal Medicine Past Accepting new patients

Locations

2033 Main St
Athol, MA 01331
Phone (978) 249-1295

242 Green St
Gardner, MA 01440
Phone (978) 258-4734

123 Summer St
Ste 385
Worcester, MA 01608
Phone (508) 363-7300

123 Summer St
Worcester, MA 01608
Phone (508) 363-6000

123 Summer St
Ste 370
Worcester, MA 01608
Phone (508) 363-7300

123 Summer St
Ste 370N
Worcester, MA 01608
Phone (508) 363-7300

Interoperability endpoints

  • Direct secure messaging: imola.daniel@piim.eclinicaldirectplus.com

Organizations & group practices 5

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": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1245460609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3491",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016133491",
            "telephone_number": "508-363-7300",
            "fax_number": "508-363-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SUMMER ST",
            "address_2": "SUITE 370N",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081216",
            "telephone_number": "508-363-7300",
            "fax_number": "508-363-9688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "IMOLA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "MEDICAL RESIDENT",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "254567",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MA",
            "license": "254567",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IMOLA",
            "last_name": "DANIEL",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.