Individual provider Active NPI

Jerry Daniel, M.D.

  • Anesthesiology Physician
  • Plano, TX
National Provider Identifier
1326296310
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
N3000 Issued in TX
Practice address
400 Chisholm PL Ste 406
Plano, TX 75075-6911
Phone
(972) 588-4541
Fax
(469) 304-0139
NPI assigned
Sep 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 9167 FL
Anesthesiology Physician 207L00000X ME103913 FL
Anesthesiology Physician 207L00000X N3000 TX Primary

Addresses

Primary practice location

400 Chisholm PL Ste 406
Plano, TX 75075-6911

Mailing address

PO Box 251606
Plano, TX 75025-1510
Phone (972) 588-4541

Other identifiers 3

IdentifierTypeStateIssuer
206024601MedicaidTX
8CD178OtherTXBLUE CROSS BLUE SHIELD
P00826720OtherTXRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20091020000307 TX Practitioner - Anesthesiology 7810034170 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Texas Tech University Health Science Center School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 Chisholm PL
Suite 114
Plano, TX 75075-6957
Phone (972) 588-4541

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9167FLMDAnesthesiology Physician
ME103913FLMDAnesthesiology Physician
N3000TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Texas Anesthesia Consultants PLLC Anesthesiology CurrentSince Jun 1, 2020 Accepting new patients
Jerry Daniel, MD, Mba, PA Anesthesiology CurrentSince Dec 17, 2014 Accepting new patients
Matt T. Gubert, PA Anesthesiology PastSince Mar 3, 2024 Accepting new patients
Pilot Anesthesia PLLC Anesthesiology Past Accepting new patients
Allied Anesthesia Associates, LLP Anesthesiology Past Accepting new patients

Locations

7777 Forest Ln
Ste A341
Dallas, TX 75230
Phone (972) 556-5700

400 Chisholm Pl
Ste 114
Plano, TX 75075
Phone (972) 588-4541

4708 Alliance Blvd
Ste 210
Plano, TX 75093
Phone (469) 800-6021

4708 Alliance Blvd
Plano, TX 75093
Phone (214) 363-6812

400 Chisholm Pl
Ste 406
Plano, TX 75075
Phone (972) 588-4541

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": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1326296310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251606",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750251510",
            "telephone_number": "972-588-4541",
            "fax_number": "469-304-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CHISHOLM PL STE 406",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750756911",
            "telephone_number": "972-588-4541",
            "fax_number": "469-304-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "JERRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-03",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "9167",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME103913",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "N3000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206024601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8CD178",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00826720",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.