Individual provider Active NPI

Dennis Edwards Daniels, MD

  • Pulmonary Disease Physician
  • Poplar Bluff, MO
National Provider Identifier
1265404222
Registry record updated Dec 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
26336 Issued in WV
Practice address
1906A Greenwood Dr
Poplar Bluff, MO 63901-2430
Phone
(573) 778-5913
Fax
(573) 776-7750
NPI assigned
Feb 3, 2006
Last updated
Dec 28, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 2003009194 MO
Pulmonary Disease Physician 207RP1001X 26336 WV Primary

Addresses

Primary practice location

1906A Greenwood Dr
Poplar Bluff, MO 63901-2430

Mailing address

1906A Greenwood Dr
Poplar Bluff, MO 63901-2430
Phone (573) 778-5913

Other identifiers 1

IdentifierTypeStateIssuer
209073204MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IN, PA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20070316000244 MO Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Sleep MedicinePractitioner - Critical Care (Intensivists) 5991808628 Reassigns benefits to 5 organizations
I20150504001857 IN Practitioner - Critical Care (Intensivists) 5991808628 Reassigns benefits to 2 organizations
I20180314002439 PA Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 5991808628 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine, Sleep Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Missouri Medical CenterGroup PAC ID 7416931506, 67 clinicians

Practice addresses (Care Compare)

407 Burkarth Rd
Suite 302
Warrensburg, MO 64093-3101
Phone (660) 747-5588

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Western Missouri Medical Center Current Accepting new patients
Select Specialty Hospital - Evansville, LLC CurrentSince Apr 19, 2015 Accepting new patients
Western Missouri Medical Center CurrentSince May 1, 2025 Accepting new patients
Big Springs Medical Association CurrentSince Mar 1, 2023 Accepting new patients
Mercy Clinic Joplin LLC Family Medicine CurrentSince Jul 11, 2020 Accepting new patients
Big Springs Medical Association Current Accepting new patients
Excela Health Physician Practices, Inc. Family Medicine CurrentSince Aug 16, 2023 Accepting new patients
Indiana University Health Ball Memorial Physicians, Inc. Family Medicine CurrentSince Dec 19, 2016 Accepting new patients
Steward Medical Group, Inc CurrentSince Jun 1, 2023 Accepting new patients
Excela Health Physician Practices, Inc. Family Medicine CurrentSince Aug 16, 2023 Accepting new patients
SSM Health Care St. Louis Pulmonary Disease CurrentSince Aug 27, 2017 Accepting new patients
Fayette Physician Network Inc Family Medicine CurrentSince Apr 1, 2018 Accepting new patients
Western Missouri Medical Center Pulmonary Disease CurrentSince May 1, 2025 Accepting new patients
Select Specialty Hospital - Evansville LLC Current Accepting new patients
Fayette Physician Network Inc Family Medicine CurrentSince Apr 1, 2018 Accepting new patients
Cogent Healthcare of Missouri, Inc CurrentSince Aug 21, 2017 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Steward Medical Group Inc. Family Medicine Current Accepting new patients
Big Springs Medical Association CurrentSince Mar 1, 2023 Accepting new patients
Fayette Physician Network Inc Family Medicine Current Accepting new patients
Woman to Woman Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

3832 Solutions Ctr
Chicago, IL 60677

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

400 SE 4th St
Evansville, IN 47713
Phone (812) 421-2312

250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836

221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141

109 Leroux St
Doniphan, MO 63935
Phone (573) 996-2136

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

100 Medical Plz
Lake St Louis, MO 63367
Phone (636) 625-5200

300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211

1235 E Cherokee St
Slp Ctr
Springfield, MO 65804
Phone (417) 820-5467

403 Burkarth Rd
Warrensburg, MO 64093
Phone (660) 474-2500

407 Burkarth Rd
Ste 302
Warrensburg, MO 64093
Phone (660) 747-2500

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

1 Mellon Way
Latrobe, PA 15650
Phone (724) 537-1207

740 E State St
Sharon, PA 16146
Phone (724) 983-1980

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000

951 Male Rd
Wind Gap, PA 18091
Phone (610) 654-1000

Interoperability endpoints

  • Direct secure messaging: ddaniels305135@ecommunitydirect.com

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 1

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514419200000",
    "number": "1265404222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906A GREENWOOD DR",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012430",
            "telephone_number": "573-778-5913",
            "fax_number": "573-776-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906A GREENWOOD DR",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012430",
            "telephone_number": "573-778-5913",
            "fax_number": "573-776-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "DENNIS",
        "middle_name": "EDWARDS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2017-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "2003009194",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WV",
            "license": "26336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209073204",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poplar Bluff, MO

Sources for this page

Verify at the official NPI Registry.