Individual provider Active NPI

Jennifer Marie Daniels, M.D.

  • Surgery Physician
  • Springfield, OH
National Provider Identifier
1457369696
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OH35-084309 Issued in OH
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2484002MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040819000770 OH Practitioner - General Surgery 6305819079 Reassigns benefits to 1 organization

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
Surgical Associates of Springfield IncGroup PAC ID 6103899869, 2 clinicians

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 100Reported as group
Quality
71.9
Promoting interoperability
99
Improvement activities
40
Cost
74.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy14
Varicose vein removal1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OH35-084309OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Associates of Springfield Inc CurrentSince Sep 1, 2004 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

  • Direct secure messaging: jdaniels45278@direct.bsmhealth.org
  • Direct secure messaging: 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.

FacilityTypeRoleSince
Ohio Valley Surgical HospitalSpringfield, OH, CCN 360355 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.

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.

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": "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

Verify at the official NPI Registry.