Individual provider Active NPI

James Donald McDaniel, M.D.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Tucson, AZ
National Provider Identifier
1982794160
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
18751 Issued in AZ
Practice address
1601 E Apache Park PL
Tucson, AZ 85714-1775
Phone
(520) 746-0260
Fax
(520) 295-0834
NPI assigned
Oct 16, 2006
Sex
Male
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
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 18751 AZ Primary

Addresses

Primary practice location

1601 E Apache Park PL
Tucson, AZ 85714-1775

Mailing address

502 W 29TH St
Tucson, AZ 85713-3353
Phone (520) 884-9920

Other identifiers 1

IdentifierTypeStateIssuer
169997MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250207000461 AR Practitioner - PsychiatryPractitioner - Addiction Medicine 7012075799

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18751AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Adult and Teen Challenge of Arkansas Inc CurrentSince Dec 1, 2024 Accepting new patients
Lafrontera Center Inc Past Accepting new patients
Lafrontera Center Inc. PastSince Jul 21, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: james.mcdanielmd.p1@direct.tgcaz.nextgenshare.com

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982794160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W 29TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857133353",
            "telephone_number": "520-884-9920",
            "fax_number": "520-792-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E APACHE PARK PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857141775",
            "telephone_number": "520-746-0260",
            "fax_number": "520-295-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "JAMES",
        "middle_name": "DONALD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "AZ",
            "license": "18751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169997",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.