Active NPI
Patricia A. Daniels, D.P.M.
- Podiatrist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC002979L
- Practice address
- 1900 S 20TH St
Health Care Center #5
Philadelphia, PA 19145-2820 - Phone
- (215) 685-2933
- Fax
- (215) 765-2409
- NPI assigned
- Aug 27, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC002979L | PA | Primary |
Addresses
Primary practice location
1900 S 20TH St
Health Care Center #5
Philadelphia, PA 19145-2820
Mailing address
500 S Broad St
Suite 360
Philadelphia, PA 19146-1613
Phone (215) 685-6769
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Podiatric Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
131 E Chelten Ave
Health Care Ctr 9
Philadelphia, PA 19144-2153
Phone (215) 685-5747
1900 N 20TH St
Health Care Ctr 5
Philadelphia, PA 19121-2217
Phone (215) 685-2973
2840 W Dauphin St
Philadelphia, PA 19132-4627
Phone (215) 685-2411
555 S 43 St
Philadelphia, PA 19104-4408
Phone (215) 685-7522
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC002979L | PA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Philadelphia | Current | Accepting new patients | |
| City of Philadelphia | Current | Accepting new patients | |
| City of Philadelphia | Current | Accepting new patients |
Locations
131 E Chelten Ave
Philadelphia, PA 19144
Phone (215) 685-2933
1900 N 20th St
Philadelphia, PA 19121
Phone (215) 685-2933
1101 Market St
Fl 10
Philadelphia, PA 19107
2840 W Dauphin St
Philadelphia, PA 19132
Phone (215) 685-2400
500 S Broad St
Ste 360
Philadelphia, PA 19146
555 S 43rd St
Philadelphia, PA 19104
Phone (215) 685-7500
4400 Haverford Ave
#4
Philadelphia, PA 19104
Phone (215) 685-7600
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1427165307
-
- Clinical Medical Laboratory
- Phila, PA
- NPI 1689688798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841308293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 S BROAD ST",
"address_2": "SUITE 360",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191461613",
"telephone_number": "215-685-6769",
"fax_number": "215-685-6732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 S 20TH ST",
"address_2": "HEALTH CARE CENTER #5",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191452820",
"telephone_number": "215-685-2933",
"fax_number": "215-765-2409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS",
"first_name": "PATRICIA",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC002979L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.