Individual provider Active NPI

Daniel Keith Olson, MD

  • Family Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1467914515
Registry record updated Oct 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101275641 Issued in VA
Practice address
15059 N Scottsdale Rd Ste 600
Scottsdale, AZ 85254-2685
Phone
(602) 778-3601
NPI assigned
Apr 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2021-00215 NC
Family Medicine Physician 207Q00000X 0101275641 VA Primary

Addresses

Primary practice location

15059 N Scottsdale Rd Ste 600
Scottsdale, AZ 85254-2685

Mailing address

1001 Fairway Village Way Unit 1E
Whitsett, NC 27377-9356
Phone (252) 481-1020

Other practice location 1

1125 N Church St
Greensboro, NC 27401-1007
Phone (336) 832-8035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC, OR3 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
I20221011002550 VA Practitioner - HospitalistPractitioner - Family Practice 7012383334 Reassigns benefits to 1 organization
I20230320001650 NC Practitioner - HospitalistPractitioner - Family Practice 7012383334 Reassigns benefits to 2 organizations
I20230607002618 OR Practitioner - Internal MedicinePractitioner - Hospitalist 7012383334 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Moses Cone Physician Services, IncGroup PAC ID 4284782210, 397 clinicians

Practice addresses (Care Compare)

4620 Woody Mill Rd
Suite G
Greensboro, NC 27406-8779
Phone (336) 907-3907

Hospital & facility affiliations

  • Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091
  • Alamance Regional Medical Center Hospital, Burlington, NC, CCN 340070

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group Virginia, PC CurrentSince Aug 7, 2022 Accepting new patients
Commonspirit Oregon Current Accepting new patients
Apogee Medical Group PC Current Accepting new patients
Moses Cone Physician Services Inc CurrentSince Sep 1, 2025 Accepting new patients
Apogee Medical Group PC CurrentSince May 30, 2023 Accepting new patients
Apogee Medical Group PC CurrentSince May 30, 2023 Accepting new patients
Moses Cone Physician Services, Inc. Family Medicine Current Accepting new patients
Commonspirit Oregon CurrentSince May 21, 2023 Accepting new patients
Apogee Medical Group North Carolina CurrentSince Dec 15, 2022 Accepting new patients
Commonspirit Oregon CurrentSince May 21, 2023 Accepting new patients
Moses Cone Physician Services Inc Past Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

4620 Woody Mill Rd
Ste G
Greensboro, NC 27406
Phone (336) 907-3907

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

566 Ruin Creek Rd
Henderson, NC 27536
Phone (252) 436-1352

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040

2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321

1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250

2801 St Anthony Way
Pendleton, OR 97801
Phone (541) 276-5121

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

320 Hospital Dr
Martinsville, VA 24112
Phone (276) 666-7200

Interoperability endpoints

  • Direct secure messaging: dolson3132542@direct.trinity-health.org

Organizations & group practices 11

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 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": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664668800000",
    "number": "1467914515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 FAIRWAY VILLAGE WAY UNIT 1E",
            "city": "WHITSETT",
            "state": "NC",
            "postal_code": "273779356",
            "telephone_number": "252-481-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15059 N SCOTTSDALE RD STE 600",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542685",
            "telephone_number": "602-778-3601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 N Church St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011007",
            "country_code": "US",
            "telephone_number": "336-832-8035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLSON",
        "first_name": "DANIEL",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-05",
        "last_updated": "2022-10-02",
        "certification_date": "2022-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2021-00215",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101275641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.