NPIMap

Individual provider Active NPI

Joel Daley, DO

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1700306545
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.014377 Issued in OH
Practice address
4101 Edwards Rd FL 2
Cincinnati, OH 45209-1678
Phone
(513) 981-4646
Fax
(513) 979-2830
NPI assigned
Jun 22, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.014377 OH Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

4101 Edwards Rd FL 2
Cincinnati, OH 45209-1678

Mailing address

4101 Edwards Rd FL 2
Cincinnati, OH 45209-1678
Phone (513) 981-4646

Other practice location 1

413 S Loop Rd
Edgewood, KY 41017-5446
Phone (859) 301-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200728002033 OH Practitioner - Family Practice 1052735719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Cincinnati LLCGroup PAC ID 6709790892, 191 clinicians
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

4101 Edwards Rd
FL 2
Cincinnati, OH 45209-1678
Phone (513) 347-9999

7567 Central Parke Blvd
A
Mason, OH 45040-6852

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati, LLC Family Medicine CurrentSince Aug 1, 2020 Accepting new patients
Mercy Health Physicians Cincinnati LLC CurrentSince Aug 1, 2020 Accepting new patients

Locations

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

4101 Edwards Rd
Fl 2
Cincinnati, OH 45209
Phone (513) 981-4646

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

Interoperability endpoints

  • Direct secure messaging: jdaley732311@direct.bsmhealth.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 4

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": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1700306545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 EDWARDS RD FL 2",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091678",
            "telephone_number": "513-981-4646",
            "fax_number": "513-979-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 EDWARDS RD FL 2",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091678",
            "telephone_number": "513-981-4646",
            "fax_number": "513-979-2830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "413 S Loop Rd",
            "address_purpose": "LOCATION",
            "city": "Edgewood",
            "state": "KY",
            "postal_code": "410175446",
            "country_code": "US",
            "telephone_number": "859-301-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALEY",
        "first_name": "JOEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-22",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.014377",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.