Active NPI
Daniel William Schaefer, MD
- Family Medicine Physician
- Durango, CO
National Provider Identifier
1689617052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DR.0056457
- Practice address
- 1305 Escalante Drive
Unit 205
Durango, CO 81303 - Phone
- (970) 259-1971
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD2003-0665 | NM | |
| Family Medicine Physician | 207Q00000X | DR.0056457 | CO | Primary |
Addresses
Primary practice location
1305 Escalante Drive
Unit 205
Durango, CO 81303
Mailing address
1305 Escalante Drive
Unit 205
Durango, CO 81303
Phone (970) 259-1971
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2016 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0056457 | CO | MD | Family Medicine Physician |
| MD2003-0665 | NM | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspen Family Medical Group of Modesto Inc. | Past | Accepting new patients | |
| Aspen Family Medical Group of Modesto, Inc. | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- daniel.schaefer@36311315054596.direct.elationemr.com
Organizations & group practices 2
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.
-
dba Aspen Family Medical Group
- Non-Pharmacy Dispensing Site
- Modesto, CA
- NPI 1457779043
-
dba Premium Mental Health Services
- Family Medicine Physician
- Modesto, CA
- NPI 1467533737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1689617052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 ESCALANTE DRIVE",
"address_2": "UNIT 205",
"city": "DURANGO",
"state": "CO",
"postal_code": "81303",
"telephone_number": "970-259-1971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 ESCALANTE DRIVE",
"address_2": "UNIT 205",
"city": "DURANGO",
"state": "CO",
"postal_code": "81303",
"telephone_number": "970-259-1971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAEFER",
"first_name": "DANIEL",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "MD2003-0665",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR.0056457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.