Daniel Alan Pedersen, DO

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

OS16743 Issued in FL

Practice address

8246 River Country Dr
Weeki Wachee, FL 34607-2101

Phone

(352) 684-8637

NPI assigned

Jun 20, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Family Practice

Education

Philadelphia College of Osteopathic Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Hospitalists of PinellaGroup PAC ID 0648267609, 24 clinicians

Osteopathic Heritage, P.a.Group PAC ID 6406907278, 13 clinicians

Health First Privia Medical GroupGroup PAC ID 3173965993, 247 clinicians

Allied Healthcare LLCGroup PAC ID 1052776366, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tampa General Hospital Brooksville Hospital, Brooksville, FL, CCN 100071
• Mease Dunedin Hospital Hospital, Dunedin, FL, CCN 100043

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: daniel.pedersen.1@8042.direct.athenahealth.com
• Direct secure messaging: dpedersen296215@direct.tgh.org
• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

• Allied Healthcare LLC

  • Internal Medicine Physician
  • Spring Hill, FL
  • NPI 1558089367
  Medicare reassignment Care Compare group NPD
• Osteopathic Heritage, P.a.

  • Family Medicine Physician
  • Brooksville, FL
  • NPI 1316196744
  Medicare reassignment Care Compare group NPD
• Privia Medical Group Florida, LLC

  • General Practice Physician
  • Indialantic, FL
  • NPI 1700649043
  Medicare reassignment Care Compare group NPD
• Community Hospitalists of Pinella

  • General Acute Care Hospital
  • Clearwater, FL
  • NPI 1215910260
  Medicare reassignment Care Compare group
• Pedersen Medicine PLLC

  • Adult Medicine Physician
  • Dunedin, FL
  • NPI 1316818735
  NPD Authorized official
• Osteopathic Heritage, P.a.

  • Adult Medicine Physician
  • Weeki Wachee, FL
  • NPI 1215107206
  NPD
• Osteopathic Heritage, P.a.

  • Family Medicine Physician
  • Spring Hill, FL
  • NPI 1598751216

  Adult Medicine

  NPD
• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Tampa General Hospital Hernando LLC

  • General Acute Care Hospital
  • Brooksville, FL
  • NPI 1063294197
  Care Compare affiliation
• Tampa General Hospital Hernando, LLC

  • General Acute Care Hospital
  • Spring Hill, FL
  • NPI 1275305013
  Care Compare affiliation
• Trustees of Mease Hospital Inc

  • General Acute Care Hospital
  • Dunedin, FL
  • NPI 1336125640
  Care Compare affiliation

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1619327780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8246 RIVER COUNTRY DR # 93",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346072101",
            "telephone_number": "352-684-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8246 RIVER COUNTRY DR",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346072101",
            "telephone_number": "352-684-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSEN",
        "first_name": "DANIEL",
        "middle_name": "ALAN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "OS16743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Durgarao Venkata Parimi, MD
• Theodora Patsioura
• Douglas J Pawling, ARNP
• Aaron Pearson
• Verna Lynn Pedersen Runyan, ARNP
• Nancy Ann Pena, LCSW
• Mary Melissa Perez
• Ebba Pezza, APRN
• Holly Marie Pietz, MA SLP
• Premier IV Care Inc.

• Adult Medicine Physician in Weeki Wachee, FL
• Providers in Weeki Wachee, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.

Verify at the official NPI Registry.