Individual provider Active NPI

Patricia A. Daniels, D.P.M.

  • Podiatrist
  • Philadelphia, PA
National Provider Identifier
1841308293
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC002979L Issued in PA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110209000274 PA Practitioner - Podiatry 5799965737 Reassigns benefits to 1 organization

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
City of PhiladelphiaGroup PAC ID 6305758723, 86 clinicians

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

LicenseStateTypeSpecialty
SC002979LPAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
City of Philadelphia CurrentSince Aug 25, 2010 Accepting new patients
City of Philadelphia CurrentSince Aug 25, 2010 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.

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

Verify at the official NPI Registry.