Active NPI
Jennifer Marie Daniels, M.D.
- Surgery Physician
- Springfield, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- OH35-084309
- Practice address
- 30 Warder St
Suite 220
Springfield, OH 45504-2500 - Phone
- (937) 399-7021
- Fax
- (937) 399-0697
- NPI assigned
- Aug 4, 2006
- Last updated
- Apr 6, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | OH35-084309 | OH | Primary |
Addresses
Primary practice location
30 Warder St
Suite 220
Springfield, OH 45504-2500
Mailing address
30 Warder St
Suite 220
Springfield, OH 45504-2500
Phone (937) 399-7021
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2484002 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jdaniels45278@direct.mercy.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Cincinnati College of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Medical Ctr Dr
Springfield, OH 45504-2687
Phone (937) 399-7021
30 Warder St
Suite 220
Springfield, OH 45504-2581
Phone (937) 399-7021
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.39 of 100
- Quality
- 71.9
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.19
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 14 |
| Varicose vein removal | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OH35-084309 | OH | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Associates of Springfield Inc | Current | Accepting new patients | |
| Ohio Valley Medical Center, LLC | Current | Accepting new patients |
Locations
30 Warder St
Ste 220
Springfield, OH 45504
Phone (937) 521-4823
Interoperability endpoints
- jdaniels45278@direct.bsmhealth.org
- jdaniels@direct.ovsurgical.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Ohio Valley Surgical Hospital | Hospital | Corporate Director | Sep 1, 2024 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- Springfield, OH
- NPI 1538304050
Corporate Director
Organizations & group practices 2
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.
-
- Specialist
- Springfield, OH
- NPI 1437219458
-
- General Acute Care Hospital
- Springfield, OH
- NPI 1538304050
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Health - Springfield Regional Medical Center
- General Acute Care Hospital
- Springfield, OH
- NPI 1144286402
-
dba Mercy Health - Lab Services, Springfield
- Clinical Medical Laboratory
- Springfield, OH
- NPI 1477217297
Hospital
-
- General Acute Care Hospital
- Springfield, OH
- NPI 1538304050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1457369696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 WARDER ST",
"address_2": "SUITE 220",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455042500",
"telephone_number": "937-399-7021",
"fax_number": "937-399-0697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 WARDER ST",
"address_2": "SUITE 220",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455042500",
"telephone_number": "937-399-7021",
"fax_number": "937-399-0697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS",
"first_name": "JENNIFER",
"middle_name": "MARIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2021-04-06",
"certification_date": "2021-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "OH35-084309",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2484002",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jdaniels45278@direct.mercy.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "30 Warder St",
"address_2": "SUITE 220",
"city": "Springfield",
"state": "OH",
"country_code": "US",
"postal_code": "455042500",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.