1. Home
  2. Directory
  3. Massachusetts
  4. Worcester
  5. Family Medicine
  6. NPI Profile

PAUL E. DANIEL M.D.
NPI 1104187400
Family Medicine in Worcester, MA

Active since June 04, 2012PECOS EnrolledAccepts Medicare Assignment
119 BELMONT ST, WORCESTER, MA 01605(508) 334-8515(508) 334-6490 Get Directions Write a Review

NPPES record last updated: October 24, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Paul E. Daniel M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL E. DANIEL M.D. (NPI 1104187400) is an individual family medicine provider in Worcester, Massachusetts, licensed in Massachusetts (261234) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and is a graduate of University Of Massachusetts Medical School (2012).

NPPES Registry Identity

NPI1104187400
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePAUL E. DANIELCredential: M.D.
Location Address119 BELMONT STWorcester, MA 01605-2903
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Phone(508) 334-8515
Fax(508) 334-6490
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2012
Enumeration DateJune 4, 2012
Last NPPES UpdateOctober 24, 2020
NPPES CertifiedOctober 24, 2020
✔ NPI 1104187400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MA · 261234
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
119 BELMONT ST, Worcester, MA 01605
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paul E. Daniel M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153553235
PECOS Enrollment IDI20150902000618
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Paul Daniel reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lianne Inc
0.6 mi
Family Medicine
200 LINCOLN ST
Worcester, MA 01605
  • Reassigned Medicare billing, Massachusetts enrollment
  • 24 clinicians in this Medicare group
NPI 1457773541 (508) 755-1222
Umass Memorial Medical Group Inc
1.7 mi
Internal Medicine
55 LAKE AVE N
Worcester, MA 01655
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,902 clinicians in this Medicare group
NPI 1760445373 (508) 334-1000
Marlborough Hospitalist Group, PLLC
13 mi
Hospitalist
157 UNION ST
Marlborough, MA 01752
  • Reassigned Medicare billing, Massachusetts enrollment
  • 88 clinicians in this Medicare group
NPI 1316639321 (508) 481-5000
Henry Heywood Memorial Hospital
24 mi
Hospitalist
242 GREEN ST
Gardner, MA 01440
  • Reassigned Medicare billing, Massachusetts enrollment
  • 344 clinicians in this Medicare group
NPI 1205448701 (978) 630-6944
Athol Memorial Hospital Incorporated
30 mi
Critical Access
2033 MAIN STREET
Athol, MA 01331
  • Reassigned Medicare billing, Massachusetts enrollment
  • 324 clinicians in this Medicare group
NPI 1336120047 (978) 249-3511
Steward Medical Group, Inc
32 mi
Specialist
9 GALEN ST
Watertown, MA 02472
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,103 clinicians in this Medicare group
NPI 1629398219 (615) 467-4474

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
130 services118 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PANKAJ ANIL KSHEERSAGAR M.B.B.S.,M.D
Family Medicine
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-5571
JASON D YANG
Internal Medicine (Rheumatology)
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-5224
SANDRA BELLINI N.P.
Nurse Practitioner (Neonatal, Critical Care)
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-6470
BENJAMIN D. HAMAR MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-0550
WALTER J ZAWACKI NP
Nurse Practitioner
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-8934
CARYN SULLIVAN LCSW
Social Worker
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-1000
WAYNE WAYFU CHAN M.D.
Orthopaedic Surgery
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-9750
NICHOLAS PAICOS PA STUDENT
Physician Assistant
119 BELMONT ST
WORCESTER, MA 01605
Worcester County (508) 334-8515

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Daniel's NPI number?

The NPI number for Paul Daniel is 1104187400. It was assigned to this individual provider in the NPPES registry on June 4, 2012.

Where is Paul Daniel located?

Paul Daniel practices at 119 Belmont St, Worcester, MA 01605. The listed phone number is (508) 334-8515.

What is Paul Daniel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Paul Daniel enrolled in Medicare?

Yes. Paul Daniel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Paul Daniel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Daniel reassigns Medicare benefits to 6 organizations: Lianne Inc (Worcester, MA), Umass Memorial Medical Group Inc (Worcester, MA), Marlborough Hospitalist Group, PLLC (Marlborough, MA), Henry Heywood Memorial Hospital (Gardner, MA), Athol Memorial Hospital Incorporated (Athol, MA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paul Daniel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Daniel accept?

Health plans from Taro Health list Paul Daniel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Paul Daniel affiliated with any hospitals?

According to CMS data, Paul Daniel is affiliated with Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Paul Daniel was last updated on October 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.