Daniela Blum Morales, MD
Individual provider Active NPI Internal Medicine Physician · O Fallon, MO
NPI 1730561069 · NPPES record last updated Apr 24, 2024
Key facts
- NPI
- 1730561069
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 2020029638 (MO)
- Practice address
- 2223 Technology Dr Ste 40
O Fallon, MO 63368-7272 - Phone
- (636) 755-4400
- NPI assigned
- Jun 23, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mercy Clinic East Communities
Practice addresses (Care Compare)
2223 Technology Dr
Suite 40
O Fallon, MO 63368-7272
Phone (636) 755-4400
Hospital & facility affiliations
- Mercy Hospital St Louis
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221005001675 | MO | Practitioner - Internal Medicine | 4183932999 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020029638 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic East Communities | Internal Medicine | Current |
Accepting new patients |
| Mercy Clinic East Communities | Internal Medicine | Current | Accepting new patients |
Locations
7913 Town Square Ave
Dardenne Prairie, MO 63368
2223 Technology Dr
Ste 40
O Fallon, MO 63368
Phone (636) 755-4400
621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192
851 E 5th St
Ste 328
Washington, MO 63090
Phone (636) 239-1101
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2020029638 | MO | Yes |
Addresses
Primary practice location
2223 Technology Dr Ste 40
O Fallon, MO 63368-7272
Mailing address
PO Box 776084
Chicago, IL 60677-6084
Phone (636) 755-4400
Other practice location 1
226 S Woods Mill Rd
Chesterfield, MO 63017-3662
Phone (314) 205-6444
Other providers in O Fallon, MO
- Joy Bland
- Jessica D Blanke
- Paige Blankenheim
- Heidi Blaylock
- Blue Valley Surgical Associates, LLC
- Trina J Blythe
- Jeffrey Steven Boberg
- Kayla Boedeker
- Corey Charles Bolen
- Shelby L Bolhafner
All providers in O Fallon, MO · Internal Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.