Individual provider Active NPI

Joseph William Daniels, M.D., M.B.A.

  • Internal Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1609944180
Registry record updated Dec 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD2006-0751 Issued in NM
Practice address
1524 Eubank Blvd NE Ste 6
Albuquerque, NM 87112-4160
Phone
(505) 503-8806
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G36968 CA
Internal Medicine Physician 207R00000X MD2006-0751 NM Primary

Addresses

Primary practice location

1524 Eubank Blvd NE Ste 6
Albuquerque, NM 87112-4160

Mailing address

PO Box 95590
Albuquerque, NM 87199-5590
Phone (505) 503-8806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20090729000023 NM Practitioner - Internal Medicine 9335292069 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G36968CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Partners CurrentSince Jan 9, 2015 Accepting new patients

Locations

1524 Eubank Blvd NE
Ste 6
Albuquerque, NM 87112
Phone (505) 503-8600

4550 Eubank Blvd NE
Ste 107
Albuquerque, NM 87111
Phone (505) 332-1006

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512604800000",
    "number": "1609944180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95590",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871995590",
            "telephone_number": "505-503-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 EUBANK BLVD NE STE 6",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871124160",
            "telephone_number": "505-503-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "JOSEPH",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D., M.B.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G36968",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2006-0751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.