Individual provider Active NPI

Daniel D Denison, MD

  • Surgery Physician
  • Meridian, MS
National Provider Identifier
1871637264
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
21239 Issued in MS
Practice address
2111 14TH St
Meridian, MS 39301-4041
Phone
(601) 693-3834
Fax
(601) 484-3225
NPI assigned
Feb 18, 2007
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 21239 MS Primary

Addresses

Primary practice location

2111 14TH St
Meridian, MS 39301-4041

Mailing address

965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401
Phone (877) 348-1281

Other identifiers 1

IdentifierTypeStateIssuer
07602854MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101228000951 MS Practitioner - General SurgeryPractitioner - Thoracic SurgeryPractitioner - Vascular Surgery 3779771290 Reassigns benefits to 2 organizations
I20250606003692 TX Practitioner - General Surgery 3779771290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Medical School at Houston, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sigma Surgical LLCGroup PAC ID 7416483300, 7 clinicians

Practice addresses (Care Compare)

5236 W University Ave
Suite 2900 BLDG 1
McKinney, TX 75071-8117
Phone (469) 617-6550

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Regional Medical Center Surgery CurrentSince Apr 19, 2017 Accepting new patients
Sigma Surgical LLC Surgery CurrentSince Jun 1, 2025 Accepting new patients
Anderson Physician Alliance, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Urology Clinic of Meridian, P.a. Current Accepting new patients

Locations

16772 W Bell Rd
Ste 110619
Surprise, AZ 85374
Phone (602) 616-7047

1102 Constitution Ave
Fl 2
Meridian, MS 39301
Phone (601) 484-7900

1600 22nd Ave
Meridian, MS 39301
Phone (601) 483-5322

2111 14th St
Meridian, MS 39301
Phone (601) 693-3834

2124 14th St
Meridian, MS 39301
Phone (601) 483-8811

4370 Medical Arts Dr
Ste 200
Flower Mound, TX 75028
Phone (972) 219-6800

5236 W University Dr
Ste 2900
McKinney, TX 75071
Phone (469) 617-6550

Interoperability endpoints

  • Direct secure messaging: ddenison1444616@direct.sw.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

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": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1871637264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 315",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401",
            "telephone_number": "877-348-1281",
            "fax_number": "901-227-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 14TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014041",
            "telephone_number": "601-693-3834",
            "fax_number": "601-484-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENISON",
        "first_name": "DANIEL",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-18",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "21239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07602854",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.