Individual provider Active NPI

Timothy Daniel, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Pearland, TX
National Provider Identifier
1770679573
Registry record updated Nov 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
L6339 Issued in TX
Practice address
10970 Shadow Creek Pkwy
Suite 270
Pearland, TX 77584-0100
Phone
(866) 693-4223
Fax
(888) 237-7954
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X L6339 TX Primary

Addresses

Primary practice location

10970 Shadow Creek Pkwy
Suite 270
Pearland, TX 77584-0100

Mailing address

13100 Northwest Fwy
Suite 400
Houston, TX 77040-6310
Phone (866) 693-4223

Other identifiers 1

IdentifierTypeStateIssuer
L6339OtherTXMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20051005000850 TX Practitioner - Internal MedicinePractitioner - Endocrinology 4183659451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Harvard Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians

Practice addresses (Care Compare)

6122 Broadway St
Suite 100
Pearland, TX 77581-7804
Phone (346) 398-7252

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Villagemd of Southeast Texas, PA Endocrinology, Diabetes & Metabolism CurrentSince Jul 1, 2020 Accepting new patients
Village Family Practice, L.L.P CurrentSince Jul 1, 2020 Accepting new patients

Locations

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

9235 Katy Fwy
Ste 400
Houston, TX 77024
Phone (346) 980-2701

6122 Broadway St
#100
Pearland, TX 77581
Phone (346) 398-7252

11619 Shadow Creek Pkwy
#110
Pearland, TX 77584
Phone (346) 646-3481

10970 Shadow Creek Pkwy
Ste 260
Pearland, TX 77584
Phone (713) 436-2009

Interoperability endpoints

  • Direct secure messaging: timothy.daniel.2@13711.direct.athenahealth.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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384128000000",
    "number": "1770679573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 NORTHWEST FWY",
            "address_2": "SUITE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770406310",
            "telephone_number": "866-693-4223",
            "fax_number": "888-237-7954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10970 SHADOW CREEK PKWY",
            "address_2": "SUITE 270",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775840100",
            "telephone_number": "866-693-4223",
            "fax_number": "888-237-7954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "TIMOTHY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2013-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "L6339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "L6339",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.