Individual provider Active NPI

Kelli E Daniels, MD

  • Obstetrics & Gynecology Physician
  • Cherry Hill, NJ
National Provider Identifier
1750321485
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA10713400 Issued in NJ
Practice address
1945 Route 70 E Ste C
Cherry Hill, NJ 08003-2160
Phone
(856) 325-3760
Fax
(856) 325-3761
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA10713400 NJ Primary
Obstetrics & Gynecology Physician 207V00000X MD-428934 PA

Addresses

Primary practice location

1945 Route 70 E Ste C
Cherry Hill, NJ 08003-2160

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340

Other practice location 1

1 Medical Center Blvd
Acp # 333
Chester, PA 19013-3902
Phone (610) 872-4900

Other practice location 2

1945 Route 70 E Ste C
Cherry Hill, NJ 08003-2160
Phone (856) 325-3760

Other identifiers 1

IdentifierTypeStateIssuer
101670041MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kdaniels111148@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20200128002729 NJ Practitioner - Obstetrics/Gynecology 0446253900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 247-7260

2225 E Evesham Rd
Voorhees, NJ 08043-1557

3242 Route 206
Bordentown, NJ 08505-4517

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-428934PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Feb 1, 2020 Accepting new patients
Virtua Medical Group, PA CurrentSince Feb 1, 2020 Accepting new patients
Virtua Medical Group, PA Current Accepting new patients
Prospect Health Access Network, Inc. Past Accepting new patients
Virtua - West Jersey Health System, Inc. Past Accepting new patients
Health Access Network Obstetrics & Gynecology Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

1945 Route 70 E
Ste C
Cherry Hill, NJ 08003
Phone (856) 325-3760

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

301 Lippincott Dr
Ste 120
Marlton, NJ 08053
Phone (856) 355-0333

2225 E Evesham Rd
Ste 102
Voorhees, NJ 08043
Phone (856) 355-7133

200 Bowman Dr
Ste 340E366
Voorhees, NJ 08043
Phone (856) 247-7600

Interoperability endpoints

  • Direct secure messaging: kdaniels111148@directvirtua.org

Organizations & group practices 6

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1750321485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 ROUTE 70 E STE C",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032160",
            "telephone_number": "856-325-3760",
            "fax_number": "856-325-3761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Blvd",
            "address_2": "ACP # 333",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "PA",
            "postal_code": "190133902",
            "country_code": "US",
            "telephone_number": "610-872-4900",
            "fax_number": "610-872-9221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1945 Route 70 E Ste C",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080032160",
            "country_code": "US",
            "telephone_number": "856-325-3760",
            "fax_number": "856-325-3761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "KELLI",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA10713400",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD-428934",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101670041",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kdaniels111148@directvirtua.org",
            "affiliation": "N",
            "address_1": "200 Bowman Dr Ste 340&E366",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.