Individual provider Active NPI

Myriam M Daniel, MD

  • Internal Medicine Physician
  • Greenville, NC
National Provider Identifier
1831200757
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9401167 Issued in NC
Practice address
1025 WH Smith Blvd
106
Greenville, NC 27834-5199
Phone
(252) 830-9001
Fax
(252) 830-9002
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9401167 NC Primary

Addresses

Primary practice location

1025 WH Smith Blvd
106
Greenville, NC 27834-5199

Mailing address

1025 WH Smith Blvd
106
Greenville, NC 27834-5199
Phone (252) 830-9001

Other identifiers 1

IdentifierTypeStateIssuer
8927025MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20050909000835 NC Practitioner - Internal Medicine 1951333061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York at Buffalo School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Theramed Health, PLLCGroup PAC ID 6103270327, 2 clinicians

Practice addresses (Care Compare)

1314 Wayne Memorial Dr
Goldsboro, NC 27534-2252
Phone (252) 286-4192

Hospital & facility affiliations

  • Unc Health Nash Hospital, Rocky Mount, NC, CCN 340147
  • Ecu Health Medical Center Hospital, Greenville, NC, CCN 340040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9401167NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Theramed Health, PLLC Internal Medicine CurrentSince Sep 9, 2024 Accepting new patients

Locations

1314 Wayne Memorial Dr
Goldsboro, NC 27534
Phone (252) 286-4192

Interoperability endpoints

  • Direct secure messaging: myriam.daniel.1@30073.direct.athenahealth.com

Organizations & group practices 1

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 3

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457481600000",
    "number": "1831200757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 WH SMITH BLVD",
            "address_2": "106",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345199",
            "telephone_number": "252-830-9001",
            "fax_number": "252-830-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 WH SMITH BLVD",
            "address_2": "106",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345199",
            "telephone_number": "252-830-9001",
            "fax_number": "252-830-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "MYRIAM",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9401167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8927025",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.