Individual provider Active NPI

Daniel R Kendall, DO

  • Pain Medicine (Anesthesiology) Physician
  • MC Lean, VA
National Provider Identifier
1679541122
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
0102201571 Issued in VA
Practice address
1420 Spring Hill Rd Ste 210
MC Lean, VA 22102-3006
Phone
(703) 738-4342
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X H0060855 MD
Physical Medicine & Rehabilitation Physician 208100000X 0102201571 VA
Physical Medicine & Rehabilitation Physician 208100000X H60855 MD
Interventional Pain Medicine Physician 208VP0014X 0102201571 VA
Pain Medicine (Anesthesiology) Physician 207LP2900X 0102201571 VA Primary

Addresses

Primary practice location

1420 Spring Hill Rd Ste 210
MC Lean, VA 22102-3006

Mailing address

11350 McCormick Rd Executive Plaza 1
Ste 501
Hunt Valley, MD 21031
Phone (703) 738-4331

Other practice location 1

3460 Old Washington Rd Ste 300
Waldorf, MD 20602-3245
Phone (301) 645-1523

Other identifiers 1

IdentifierTypeStateIssuer
010102049MedicaidVA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address danielkendall@nspc.medalliesdirect.net
Direct Messaging Address danielkendall@nspc.medalliesdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD3 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
I20040617000142 DC Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Interventional Radiology 0749264695 Reassigns benefits to 1 organization
I20171120002227 VA Practitioner - Pain Management 0749264695 Reassigns benefits to 1 organization
I20190603000361 MD Practitioner - Pain ManagementPractitioner - Anesthesiology 0749264695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Midwestern University, Chicago College of Osteopathic Med, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physical Medicine Associates LTDGroup PAC ID 4981688835, 73 clinicians

Practice addresses (Care Compare)

14605 Potomac Branch Dr
Suite 100
Woodbridge, VA 22191-3337
Phone (703) 738-4371

6355 Walker LN
Suite 507
Alexandria, VA 22310-3251
Phone (703) 971-4604

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion13
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0060855MDMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Interventional Pain Medicine Past Accepting new patients
NSPC Surgery Center of Maryland LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dkendall@spineandpain.emadirect.md

Organizations & group practices 3

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1679541122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK RD EXECUTIVE PLAZA 1",
            "address_2": "STE 501",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "21031",
            "telephone_number": "703-738-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 SPRING HILL RD STE 210",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023006",
            "telephone_number": "703-738-4342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3460 Old Washington Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206023245",
            "country_code": "US",
            "telephone_number": "301-645-1523",
            "fax_number": "301-645-6812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "DANIEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MD",
            "license": "H0060855",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0102201571",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "H60855",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "VA",
            "license": "0102201571",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "VA",
            "license": "0102201571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010102049",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "danielkendall@nspc.medalliesdirect.net",
            "affiliation": "N",
            "address_1": "1420 Spring Hill Rd Ste 210",
            "city": "Mc Lean",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221023006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "danielkendall@nspc.medalliesdirect.net",
            "affiliation": "N",
            "address_1": "3460 Old Washington Rd Ste 300",
            "city": "Waldorf",
            "state": "MD",
            "country_code": "US",
            "postal_code": "206023245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

Verify at the official NPI Registry.