Active NPI
Tracey Ann Danloff, MD
- Pediatric Anesthesiology Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Anesthesiology Physician
- License
- 43326
- Practice address
- 920 Stanton L Young Blvd Ste Wp1140
Oklahoma City, OK 73104-5036 - Phone
- (405) 271-4351
- NPI assigned
- Jul 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD043613E | PA | |
| Anesthesiology Physician | 207L00000X | MD-52000 | IA | |
| Pediatric Anesthesiology Physician | 207LP3000X | MD043613E | PA | |
| Pediatric Anesthesiology Physician | 207LP3000X | MD-52000 | IA | |
| Pediatric Anesthesiology Physician | 207LP3000X | 43326 | OK | Primary |
Addresses
Primary practice location
920 Stanton L Young Blvd Ste Wp1140
Oklahoma City, OK 73104-5036
Mailing address
920 Stanton L Young Blvd Ste Wp1140
Oklahoma City, OK 73104-5036
Other practice location 1
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-2633
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4199295 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, PA, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100225000780 | MI | Practitioner - Anesthesiology | 2961546122 | Reassigns benefits to 1 organization |
| I20220414000194 | PA | Practitioner - Anesthesiology | 2961546122 | Reassigns benefits to 1 organization |
| I20241016000136 | OK | Practitioner - Anesthesiology | 2961546122 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-52000 | IA | MD | Anesthesiology Physician |
| MD043613E | PA | MD | Anesthesiology Physician |
| 43326 | OK | MD | Pediatric Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward W Sparrow Hospital Association | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Anesthesiology | Current | Accepting new patients |
| STC Pediatrics LLC | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| STC Pediatrics LLC | Current | Accepting new patients | |
| STC Pediatrics LLC | Current | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
1200 E Michigan Ave
Ste 370
Lansing, MI 48912
Phone (517) 364-5300
920 Stanton L Young Blvd
Ste WP1140
Oklahoma City, OK 73104
900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230
160 E Erie Ave
Fl 2
Philadelphia, PA 19134
Phone (215) 427-5569
160 E Erie Ave
Philadelphia, PA 19134
Phone (215) 427-4067
300 E Hunting Park Ave
Philadelphia, PA 19124
Phone (215) 427-8363
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Lansing, MI
- NPI 1366498107
Anesthesiology, MI
-
- Pediatric Emergency Medicine (Pediatrics) Physician
- Philadelphia, PA
- NPI 1144864547
PA
-
- Prosthetic/Orthotic Supplier
- Oklahoma City, OK
- NPI 1447834460
-
- Adult Health Nurse Practitioner
- Lansing, MI
- NPI 1265220438
-
- Pediatrics Physician
- Philadelphia, PA
- NPI 1174167480
-
- Ophthalmology Physician
- Newtown, PA
- NPI 1548141997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715299200000",
"number": "1780600288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 STANTON L YOUNG BLVD STE WP1140",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 STANTON L YOUNG BLVD STE WP1140",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045036",
"telephone_number": "405-271-4351"
}
],
"practiceLocations": [
{
"address_1": "200 Hawkins Dr",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522421009",
"country_code": "US",
"telephone_number": "319-356-2633",
"fax_number": "319-356-2940",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANLOFF",
"first_name": "TRACEY",
"middle_name": "ANN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-15",
"last_updated": "2024-05-10",
"certification_date": "2024-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD043613E",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IA",
"license": "MD-52000",
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "PA",
"license": "MD043613E",
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "IA",
"license": "MD-52000",
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "OK",
"license": "43326",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4199295",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.