Individual provider Active NPI

Jeffrey Michael McDaniel, M.D.

  • Family Medicine Physician
  • Midlothian, TX
National Provider Identifier
1366576282
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N5855 Issued in TX
Practice address
979 Don Floyd Dr Ste 124
Midlothian, TX 76065-6289
Phone
(972) 775-4132
Fax
(972) 775-4620
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X N5855 TX
Family Medicine Physician 207Q00000X N5855 TX Primary

Addresses

Primary practice location

979 Don Floyd Dr Ste 124
Midlothian, TX 76065-6289

Mailing address

979 Don Floyd Dr Ste 124
Midlothian, TX 76065-6289
Phone (972) 775-4132

Other identifiers 2

IdentifierTypeStateIssuer
8X0098OtherTXBLUE CROSS AND BLUE SHIELD OF TEXAS
217145602MedicaidTX

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
I20101110000250 TX Practitioner - Family Practice 0749475226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green Oaks Physical Therapy Limited PartnershipGroup PAC ID 4688582141, shared by 2 NPIs, 208 clinicians
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

2000 FM
663 Suite 160
Midlothian, TX 76065-6559
Phone (469) 856-2476

613 S Hwy 78
Suite 200
Wylie, TX 75098-5525
Phone (972) 941-8700

979 Don Floyd Dr
Suite 124
Midlothian, TX 76065-6695
Phone (972) 775-4132

Hospital & facility affiliations

  • Infinite Care Home Health Inc Home health agency, Waxahachie, TX, CCN 679431
  • Methodist Midlothian Medical Center Hospital, Midlothian, TX, CCN 670300
  • Methodist Charlton Medical Center Hospital, Dallas, TX, CCN 450723
  • Methodist Mansfield Medical Center Hospital, Mansfield, TX, CCN 670023
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Aug 1, 2011 Accepting new patients
Medhealth Family Medicine CurrentSince Aug 1, 2011 Accepting new patients
Advanced Pain & Rehabilitation Association PLLC Past Accepting new patients

Locations

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

2230 Bryan Pl
Ste 200
Midlothian, TX 76065
Phone (972) 775-4132

979 Don Floyd Dr
Ste 124
Midlothian, TX 76065
Phone (972) 775-4132

613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700

Interoperability endpoints

  • Direct secure messaging: jmcdaniel13672@dm.mhd.com

Organizations & group practices 3

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 5

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1366576282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "979 DON FLOYD DR STE 124",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760656289",
            "telephone_number": "972-775-4132",
            "fax_number": "972-775-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 DON FLOYD DR STE 124",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760656289",
            "telephone_number": "972-775-4132",
            "fax_number": "972-775-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "N5855",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N5855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD OF TEXAS",
            "identifier": "8X0098",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217145602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, TX

Sources for this page

Verify at the official NPI Registry.