Active NPI
Adam Michael Danielson
- Internal Medicine Physician
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A156635
- Practice address
- 1303 E Herndon Ave
Fresno, CA 93720-3309 - Phone
- (559) 450-5672
- NPI assigned
- Feb 6, 2012
- Last updated
- Oct 3, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A156635 | CA | Primary |
Addresses
Primary practice location
1303 E Herndon Ave
Fresno, CA 93720-3309
Mailing address
1321 Orleans St
Apt 2210
Detroit, MI 48207-2908
Phone (313) 404-5040
Other practice location 1
620 John Paul Jones Cir
Naval Medical Center Portsmouth
Portsmouth, VA 23708-2111
Phone (757) 953-3149
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Wayne State University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1221 E Spruce Ave
Fresno, CA 93720-3374
Phone (559) 450-5777
1303 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-3433
1379 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-6388
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.57 of 100
- Quality
- 63.43
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 77.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A156635 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LQMG Medical Group Inc. | Internal Medicine | Current | Accepting new patients |
| Saint Agnes Medical Foundation | Internal Medicine | Current | Accepting new patients |
Locations
1111 E Spruce Ave
Ste 431
Fresno, CA 93720
Phone (559) 450-5611
1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777
1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000
Interoperability endpoints
- adanielson2712622@direct.trinity-health.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Saint Agnes Care
- Internal Medicine Physician
- Fresno, CA
- NPI 1558819482
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1437166360
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1205845567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1811269806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 ORLEANS ST",
"address_2": "APT 2210",
"city": "DETROIT",
"state": "MI",
"postal_code": "482072908",
"telephone_number": "313-404-5040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 E HERNDON AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203309",
"telephone_number": "559-450-5672"
}
],
"practiceLocations": [
{
"address_1": "620 John Paul Jones Cir",
"address_2": "Naval Medical Center Portsmouth",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "VA",
"postal_code": "237082111",
"country_code": "US",
"telephone_number": "757-953-3149",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANIELSON",
"first_name": "ADAM",
"middle_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-06",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A156635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.