DANIEL DANIELS M.D.
NPI 1174631352
Internal Medicine - Gastroenterology in Frederick, MD

Q: What is Daniel Daniels's NPI number?

The NPI number for Daniel Daniels is 1174631352. It was assigned to this individual provider in the NPPES registry on August 28, 2006.

Q: What is Daniel Daniels's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Daniels was last updated on July 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 28, 2006PECOS EnrolledAccepts Medicare Assignment

194 THOMAS JOHNSON DR, FREDERICK, MD 21702(240) 575-2526 Get Directions Write a Review

NPPES record last updated: July 5, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Daniel Daniels M.d. NPPES

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

DANIEL DANIELS M.D. (NPI 1174631352) is an individual gastroenterology provider in Frederick, Maryland, licensed in Maryland (D0066830) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Tidalhealth Peninsula Regional, Inc, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1174631352

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDANIEL DANIELSCredential: M.D.

Location Address194 THOMAS JOHNSON DRFrederick, MD 21702-4679

Mailing Address400 W 7th StFrederick, MD 21701-4506 · (240) 643-6070

Phone(240) 575-2526

Sole ProprietorNo

Medical School CMSOtherGraduated 1978

Enumeration DateAugust 28, 2006

Last NPPES UpdateJuly 5, 2022

NPPES CertifiedJuly 5, 2022

✔ NPI 1174631352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in MD · D0066830

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License D66830 (MD)

194 THOMAS JOHNSON DR, Frederick, MD 21702

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Secondary Practice Locations 7

Location 1560 Riverside Dr, Suite A 206Salisbury, MD 21801-4700 · Phone (410) 912-5640 · Fax (410) 912-5641

Location 2501 W 7th StFrederick, MD 21701-4586 · Phone (240) 575-2526

Location 37211 Bank CtFrederick, MD 21703-8483 · Phone (240) 575-2526

Location 43430 Worthington BlvdFrederick, MD 21704-7017 · Phone (240) 575-2526

Location 51562 Opossumtown PikeFrederick, MD 21702-4920 · Phone (240) 575-2526

Location 6504 E Ridgeville BlvdMount Airy, MD 21771-5942 · Phone (240) 575-2526

Location 775 Thomas Johnson DrFrederick, MD 21702-4895 · Phone (240) 575-2526

Other Identifiers 2

Medicaid016093800MD

OtherD66830MD · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Daniel Daniels 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 ID9032128996

PECOS Enrollment IDI20080930000501

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

Medicare enrollment records show Daniel Daniels reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Frederick Health Medical Group LLC

Same address

Hematology

194 THOMAS JOHNSON DR
Frederick, MD 21702

Reassigned Medicare billing, Maryland enrollment
245 clinicians in this Medicare group

NPI 1205590155 (301) 662-8477

Tidalhealth Peninsula Regional, Inc.

123 mi

Family Medicine

100 E CARROLL ST, PENINSULA REGIONAL MEDICAL GROUP
Salisbury, MD 21801

Reassigned Medicare billing, Maryland enrollment
169 clinicians in this Medicare group

NPI 1184832040 (410) 543-7252

Tidalhealth Specialty Care, LLC

123 mi

Medical Specialty

100 E CARROLL ST
Salisbury, MD 21801

Reassigned Medicare billing, Maryland enrollment
531 clinicians in this Medicare group

NPI 1619504735 (410) 546-6400

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 23

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

212 services184 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

180 services180 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

116 services116 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

101 services101 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

101 services101 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

96 services94 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

64 services62 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

61 services61 patients

Review by radiologist of image from tube placement into bile duct using an endoscope 74328

This procedure involves a specialist, called a radiologist, examining an image taken during a tube placement into your bile duct. The tube is inserted with the help of a tool called an endoscope. This allows the doctor to check for any issues or abnormalities in your bile duct.

49 services47 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

33 services33 patients

Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264

This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.

29 services29 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

23 services23 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

21 services17 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

20 services19 patients

Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43255

This procedure involves using a flexible tube with a light, called an endoscope, to examine and treat bleeding in the esophagus, stomach, or upper small bowel. It's a safe, effective way to control bleeding and ensure your digestive health.

17 services15 patients

Balloon dilation of pancreatic or bile duct or sphincter using a flexible endoscope 43277

Balloon dilation is a procedure where a tiny balloon is inserted via an endoscope into your pancreatic or bile duct. The balloon is then inflated to widen the duct, improving flow and relieving blockages. It's a non-surgical, minimally invasive procedure.

17 services17 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

17 services17 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

16 services16 patients

Insertion of stent into pancreatic or bile duct using a flexible endoscope 43274

This procedure involves the placement of a tiny tube, known as a stent, into your pancreatic or bile duct. A flexible endoscope, a long, thin instrument with a light and camera, is used. It aids in relieving blockages and improving flow in these ducts.

15 services15 patients

Imaging of digestive tract done from the inside of the digestive tract 91110

This procedure, known as an endoscopy, involves a small camera being passed into the digestive tract. It helps doctors to see the inside of your digestive system in detail. This can aid in diagnosing conditions or planning treatments. It's generally safe and can provide valuable information.

15 services15 patients

Incision of pancreatic outlet using a flexible endoscope 43262

This procedure involves a small cut in the outlet of the pancreas using a flexible tube with a camera, called an endoscope. It helps doctors diagnose and treat conditions affecting the pancreas, enhancing patient comfort and recovery.

13 services13 patients

Injection beneath lining of large bowel using a flexible endoscope 45381

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

12 services12 patients

Study of esophagus to assess movement 91010

This procedure, known as esophageal manometry, involves studying the esophagus or food pipe to evaluate its movement and pressure. It helps understand how well the esophagus can move food to the stomach. Involving a thin, flexible tube, it's a safe, minimally invasive test.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Tidalhealth Peninsula Regional, Inc

Acute Care Hospitals · Salisbury, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210019

Location100 East Carroll AvenueSalisbury, MD 21801 · Wicomico County

Emergency services Birthing friendly

Atlantic General Hospital

Acute Care Hospitals · Berlin, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210061

Location9733 Healthway DriveBerlin, MD 21811 · Worcester County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21702 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

$133.05 typical visit price

range $57.99 – $175.57

Typical copayment $33.26 (range $14.49 – $43.89)

Most-billed visit code 99204

Established Patient

$102.11 typical visit price

range $18.66 – $143.02

Typical copayment $25.52 (range $4.66 – $35.75)

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.

FREDERICK HEALTH HOSPITAL INC

Clinic/Center (Rehabilitation)

194 THOMAS JOHNSON DR, SUITE B
FREDERICK, MD 21702

Frederick County (240) 566-3400

DR. VIKRAM SINGH SODHI M.D.

Family Medicine

194 THOMAS JOHNSON DR, SUITE A
FREDERICK, MD 21702

Frederick County (240) 215-6310

ABBY BELAY

Nurse Practitioner (Family)

194 THOMAS JOHNSON DR
FREDERICK, MD 21702

Frederick County (240) 215-6310

MS. TESSLA MCGRAW PA-C

Physician Assistant

194 THOMAS JOHNSON DR, SUITE A
FREDERICK, MD 21702

Frederick County (240) 215-6310

FREDERICK HEALTH MEDICAL GROUP LLC

Internal Medicine (Hematology)

194 THOMAS JOHNSON DR
FREDERICK, MD 21702

Frederick County (301) 662-8477

LAURA LEE DUNLOW PA-C

Physician Assistant

194 THOMAS JOHNSON DR
FREDERICK, MD 21702

Frederick County (240) 215-6310

GNANARAJ JOHNSON KOILPILLAI M.D.

Family Medicine

194 THOMAS JOHNSON DR, SUITE A
FREDERICK, MD 21702

Frederick County (240) 215-6310

FREDERICK HEALTH MEDICAL GROUP LLC

Family Medicine

194 THOMAS JOHNSON DR
FREDERICK, MD 21702

Frederick County (240) 215-6310

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 Daniel Daniels's NPI number?

The NPI number for Daniel Daniels is 1174631352. It was assigned to this individual provider in the NPPES registry on August 28, 2006.

Where is Daniel Daniels located?

Daniel Daniels practices at 194 Thomas Johnson Dr, Frederick, MD 21702. The listed phone number is (240) 575-2526.

What is Daniel Daniels's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Daniel Daniels enrolled in Medicare?

Yes. Daniel Daniels 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 Daniel Daniels's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Daniels reassigns Medicare benefits to 3 organizations: Frederick Health Medical Group LLC (Frederick, MD), Tidalhealth Peninsula Regional, Inc. (Salisbury, MD) and Tidalhealth Specialty Care, LLC (Salisbury, MD). 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 Daniel Daniels's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Daniels accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and AmeriHealth Caritas Next and 1 other insurer list Daniel Daniels 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 Daniel Daniels affiliated with any hospitals?

According to CMS data, Daniel Daniels is affiliated with Tidalhealth Peninsula Regional, Inc and Atlantic General Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Daniels was last updated on July 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.