Individual provider Active NPI

Robert L Daniels, M.D.

  • Obstetrics & Gynecology Physician
  • Jamestown, NY
National Provider Identifier
1376504068
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
131973 Issued in NY
Practice address
400 Foote Ave
Jamestown, NY 14701-6800
Phone
(716) 484-9194
Fax
(716) 484-0115
NPI assigned
Mar 31, 2006
Last updated
Jul 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 131973 NY Primary

Addresses

Primary practice location

400 Foote Ave
Jamestown, NY 14701-6800

Mailing address

400 Foote Ave
Jamestown, NY 14701-6800
Phone (716) 484-9194

Other identifiers 4

IdentifierTypeStateIssuer
00010262101OtherNYUNIVERA
000508563001OtherNYBC/BS OF WNY
040426003855OtherNYFIDELIS CARE
00623143MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address robert.daniels@upmcdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100308000671 NY Practitioner - Obstetrics/Gynecology 8224173745 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Columbia University College of Physicians and Surgeons, 1976
Medicare assignment
May accept Medicare assignment
Group practices
Great Lakes Physician Practice PCGroup PAC ID 6709007701, 143 clinicians
Lane Women's Health Group PCGroup PAC ID 0143365668, 5 clinicians

Practice addresses (Care Compare)

17 Sherman St
Jamestown, NY 14701-7087

31 Sherman St
Suite 2400
Jamestown, NY 14701-7082
Phone (814) 483-5306

400 Foote Ave
Jamestown, NY 14701-6800
Phone 7164849194221

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
131973NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lane Women's Health Group PC Obstetrics & Gynecology CurrentSince Jan 24, 2010 Accepting new patients
Jamestown Area Medical Associates, L.L.P. Obstetrics & Gynecology CurrentSince Jun 1, 1997 Accepting new patients
Great Lakes Physician Practice PC Obstetrics & Gynecology CurrentSince Feb 1, 2023 Accepting new patients
Upmc Chautauqua at Wca Past Accepting new patients
Lane Women's Health GR. Obstetrics & Gynecology PastSince Jan 24, 2010 Accepting new patients
Upmc Chautauqua at Wca Past Accepting new patients

Locations

31 Sherman St
Ste 2400
Jamestown, NY 14701
Phone (814) 483-5306

400 Foote Ave
Jamestown, NY 14701
Phone (716) 484-9194

2 Hot Metal St
Bldg 3RD
Pittsburgh, PA 15203

Interoperability endpoints

  • Direct secure messaging: rdaniels@lanewomenshealth.medentdirect.com

Organizations & group practices 6

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 2

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1376504068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FOOTE AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016800",
            "telephone_number": "716-484-9194",
            "fax_number": "716-484-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FOOTE AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016800",
            "telephone_number": "716-484-9194",
            "fax_number": "716-484-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "ROBERT",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "131973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010262101",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF WNY",
            "identifier": "000508563001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS CARE",
            "identifier": "040426003855",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00623143",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert.daniels@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

Verify at the official NPI Registry.