DR. JOHN S DANIELS MD
NPI 1104978964
Internal Medicine in Saint Louis, MO
About Dr. John S Daniels Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN S DANIELS MD (NPI 1104978964) is an individual internal medicine provider in Saint Louis, Missouri, licensed in Missouri (R6678) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. John S Daniels Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show John Daniels reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Louis, MO 63108
- Reassigned Medicare billing, Missouri enrollment
- 16 clinicians in this Medicare group
St. Louis, MO 63112
- Reassigned Medicare billing, Missouri enrollment
- Medicare enrollment name: Betty Jean Kerr Peoples Health Centers
- 53 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 10
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
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 John Daniels's NPI number?
The NPI number for John Daniels is 1104978964. It was assigned to this individual provider in the NPPES registry on January 18, 2007.
Where is John Daniels located?
John Daniels practices at 4921 Parkview Pl Ste 13A, Saint Louis, MO 63110. The listed phone number is (314) 333-4100.
What is John Daniels's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is John Daniels enrolled in Medicare?
Yes. John Daniels is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for John Daniels's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Daniels reassigns Medicare benefits to 2 organizations: Washington University Clinical Associates LLC (Saint Louis, MO) and Betty Jean Kerr People's Health Centers (St. Louis, MO). 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 John Daniels's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for John Daniels was last updated on June 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. John S Daniels, MD · NPI 1104978964
Internal Medicine physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since January 18, 2007.
## Identity
- **NPI:** 1104978964 (Entity type: Individual)
- **Enumerated:** January 18, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** R6678 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 4921 PARKVIEW PL, STE 13A, Saint Louis, MO 63110-1032
- **Phone:** (314) 333-4100 · **Fax:** (314) 333-4115
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Washington University Clinical Associates LLC (NPI 1437188133, Saint Louis, MO); Betty Jean Kerr People's Health Centers (NPI 1841668688, St. Louis, MO) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 13, 2019
- **Other identifiers:** Medicaid 200846137 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1104978964) · Data from the CMS NPPES public registry.