DR. DANIEL MARK MAMMEL MD
NPI 1265882401
Pediatrics - Neonatal-Perinatal Medicine in Maple Grove, MN

Q: What is Daniel Mammel's NPI number?

The NPI number for Daniel Mammel is 1265882401. It was assigned to this individual provider in the NPPES registry on June 19, 2016.

Q: What is Daniel Mammel's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Mammel was last updated on July 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 19, 2016PECOS Enrolled

9875 HOSPITAL DR, MAPLE GROVE, MN 55369(612) 322-6903 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 14, 2023, Jul 12, 2022, Aug 9, 2019 and 2 more (5 updates tracked since 2016).

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About Dr. Daniel Mark Mammel Md NPPES

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

DR. DANIEL MARK MAMMEL MD (NPI 1265882401) is an individual neonatal-perinatal medicine provider in Maple Grove, Minnesota, licensed in Missouri (2019022985) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265882401

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameDR. DANIEL MARK MAMMELCredential: MD

Location Address9875 HOSPITAL DRMaple Grove, MN 55369-4648

Mailing Address9325 Upland Ln N Ste 360Maple Grove, MN 55369-4463 · (612) 322-6903 · Fax (763) 416-0158

Phone(612) 322-6903

Sole ProprietorNo

Enumeration DateJune 19, 2016

Last NPPES UpdateJuly 14, 20235 updates tracked since enumeration

NPPES CertifiedJuly 14, 2023

✔ NPI 1265882401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in MO · 2019022985

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

9875 HOSPITAL DR, Maple Grove, MN 55369

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Secondary Practice Locations 2

Location 11 Childrens Pl, Div Ped Newborn MedicineSaint Louis, MO 63110-1002 · Phone (314) 454-2683 · Fax (314) 454-4633

Location 23300 Oakdale Ave NRobbinsdale, MN 55422-2926 · Phone (612) 322-6903

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Daniel Mark Mammel Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 17

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

GRETCHEN A VOGE MD

Pediatrics (Neonatal-Perinatal Medicine)