Individual provider Active NPI

Daniel Lee Wilburn Hanley, M.D.

  • Family Medicine Physician
  • Bokeelia, FL
National Provider Identifier
1407268600
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME139840 Issued in FL
Practice address
10700 Stringfellow Rd Ste 50
Bokeelia, FL 33922-3232
Phone
(833) 742-6276
Fax
(833) 450-0911
NPI assigned
May 22, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA10352800 NJ
Family Medicine Physician 207Q00000X MD462274 PA
Adolescent Medicine (Family Medicine) Physician 207QA0000X ME139840 FL
Adult Medicine Physician 207QA0505X ME139840 FL
Obesity Medicine (Family Medicine) Physician 207QB0002X ME139840 FL
Geriatric Medicine (Family Medicine) Physician 207QG0300X ME139840 FL
Family Medicine Physician 207Q00000X ME139840 FL Primary

Addresses

Primary practice location

10700 Stringfellow Rd Ste 50
Bokeelia, FL 33922-3232

Mailing address

2838 SW 30TH St
Cape Coral, FL 33914-2000
Phone (833) 742-6276

Other practice location 1

2838 SW 30th St
Cape Coral, FL 33914-2000
Phone (833) 742-6276

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address daniel.hanley.1@29954.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ, FL3 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
I20171002000022 PA Practitioner - Family Practice 1254639602 Reassigns benefits to 1 organization
I20190312003098 NJ Practitioner - Family Practice 1254639602
I20190920002219 FL Practitioner - Family Practice 1254639602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loyola University of Chicago, Stritch School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ancuram LLCGroup PAC ID 6002238755, 3 clinicians

Practice addresses (Care Compare)

10700 Stringfellow Rd
Suite 50
Bokeelia, FL 33922-3232
Phone (833) 742-6276

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as individual
Quality
66.07
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME139840FLMDAdolescent Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ancuram LLC Family Medicine CurrentSince Apr 20, 2020 Accepting new patients
On Demand Urgent Care Group PC CurrentSince Aug 21, 2017 Accepting new patients
On Demand Urgent Care Group, PC PastSince Aug 21, 2017 Accepting new patients
On Demand Urgent Care Group PC Past Accepting new patients
On Demand Urgent Care Group, PC PastSince Aug 21, 2017 Accepting new patients

Locations

10700 Stringfellow Rd
Ste 50
Bokeelia, FL 33922
Phone (239) 282-0255

6060 Ridge Ave
Ste 100
Philadelphia, PA 19128
Phone (215) 483-6600

1217 S Broad St
Philadelphia, PA 19147
Phone (215) 999-1217

3356 Aramingo Ave
Philadelphia, PA 19134
Phone (215) 739-6600

Interoperability endpoints

  • Direct secure messaging: daniel.hanley.1@29954.direct.athenahealth.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 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": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1407268600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2838 SW 30TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339142000",
            "telephone_number": "833-742-6276",
            "fax_number": "833-450-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 STRINGFELLOW RD STE 50",
            "city": "BOKEELIA",
            "state": "FL",
            "postal_code": "339223232",
            "telephone_number": "833-742-6276",
            "fax_number": "833-450-0911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2838 SW 30th St",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339142000",
            "country_code": "US",
            "telephone_number": "833-742-6276",
            "fax_number": "833-450-0911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANLEY",
        "first_name": "DANIEL",
        "middle_name": "LEE WILBURN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-22",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA10352800",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD462274",
            "primary": false
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "FL",
            "license": "ME139840",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME139840",
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "FL",
            "license": "ME139840",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME139840",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME139840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "daniel.hanley.1@29954.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10700 Stringfellow Rd Ste 50",
            "city": "Bokeelia",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339223232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bokeelia, FL

Sources for this page

Verify at the official NPI Registry.