Individual provider Active NPI

Paul D Danielson, M.D.

  • Pediatric Surgery Physician
  • St Petersburg, FL
National Provider Identifier
1679555098
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
ME102019 Issued in FL
Practice address
601 5TH St S
Department 70-6600 3Rd Floor
St Petersburg, FL 33701
Phone
(727) 767-4170
Fax
(727) 767-4346
NPI assigned
Nov 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X ME102019 FL Primary

Addresses

Primary practice location

601 5TH St S
Department 70-6600 3Rd Floor
St Petersburg, FL 33701

Mailing address

601 5TH St S
Department 70-6600 3Rd Floor
St Petersburg, FL 33701
Phone (727) 767-4170

Other identifiers 2

IdentifierTypeStateIssuer
0000814 00MedicaidFL
0140881MedicaidMA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230320002812 FL Practitioner - General SurgeryPractitioner - Pediatric Medicine 7315023686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Pediatric Medicine
Education
University of Rochester School of Medicine and Dentistry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pediatric Physician Services, Inc.Group PAC ID 7113989849, 200 clinicians

Practice addresses (Care Compare)

601 5TH St S
Suite 5
St Petersburg, FL 33701-4804
Phone (727) 727-4429

Hospital & facility affiliations

  • Johns Hopkins All Children'S Hospital Hospital, Saint Petersburg, FL, CCN 103300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Pediatric Physician Services, Inc. Pediatric Surgery CurrentSince Dec 9, 2022 Accepting new patients
Orlando Health, Inc. Current Accepting new patients

Locations

885 S Parsons Ave
Brandon, FL 33511
Phone (813) 436-5900

14111 State Road 54
Odessa, FL 33556
Phone (813) 343-5690

5881 Rand Blvd
Sarasota, FL 34238
Phone (727) 822-7344

501 6th Ave S
St Petersburg, FL 33701
Phone (727) 344-6060

601 5th St S
Ste 5
St Petersburg, FL 33701
Phone (727) 727-4429

601 5th St S
St Petersburg, FL 33701
Phone (727) 767-3333

601 5th St S
Ste 3
St Petersburg, FL 33701
Phone (727) 767-4170

10080 Balaye Run Dr
Tampa, FL 33619
Phone (727) 329-5400

Interoperability endpoints

  • Direct secure messaging: pdanielson76598@direct.tgh.org
  • Direct secure messaging: pdanielson188764@orlandohealth.medalliesdirect.net
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: pdanielson733098@direct.hopkinsmedicine.org

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 1

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": "1132444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1679555098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 5TH ST S",
            "address_2": "DEPARTMENT 70-6600 3RD FLOOR",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33701",
            "telephone_number": "727-767-4170",
            "fax_number": "727-767-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 5TH ST S",
            "address_2": "DEPARTMENT 70-6600 3RD FLOOR",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33701",
            "telephone_number": "727-767-4170",
            "fax_number": "727-767-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELSON",
        "first_name": "PAUL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-20",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "FL",
            "license": "ME102019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000814 00",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0140881",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.