Individual provider Active NPI

Avace Dani, M.D.

  • Anesthesiology Physician
  • Baltimore, MD
National Provider Identifier
1821416686
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D0085065 Issued in MD
Practice address
201 E University Pkwy
Baltimore, MD 21218
Phone
(410) 554-2651
Fax
(410) 261-8598
NPI assigned
Mar 30, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D0085065 MD Primary

Addresses

Primary practice location

201 E University Pkwy
Baltimore, MD 21218

Mailing address

201 E University Pkwy
Baltimore, MD 21218-2829
Phone (410) 554-2651

Other practice location 1

622 W 168th St Ph 5-133
New York, NY 10032-3720
Phone (212) 305-3226

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191013000001 CA Practitioner - Anesthesiology 9830448612 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0085065MDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Camino Anesthesia Anesthesiology CurrentSince Jul 1, 2021 Accepting new patients
Iqbal M Mirza MD Professional Corporation Anesthesiology CurrentSince Sep 1, 2020 Accepting new patients

Locations

555 Knowles Dr
Ste 115
Los Gatos, CA 95032
Phone (408) 374-4400

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

525 South Dr
Ste 211
Mountain View, CA 94040
Phone (408) 495-5770

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

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": "1396137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1821416686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E UNIVERSITY PKWY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182829",
            "telephone_number": "410-554-2651",
            "fax_number": "410-261-8598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E UNIVERSITY PKWY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21218",
            "telephone_number": "410-554-2651",
            "fax_number": "410-261-8598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "622 W 168th St Ph 5-133",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100323720",
            "country_code": "US",
            "telephone_number": "212-305-3226",
            "fax_number": "212-305-3204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANI",
        "first_name": "AVACE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-30",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0085065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.