Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DANIEL OPIYO MADUMA DNP
NPI 1336609064
Nurse Practitioner - Family in Marana, AZ

Q: What is Daniel Maduma's NPI number?

The NPI number for Daniel Maduma is 1336609064. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Q: What is Daniel Maduma's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Maduma was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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 March 20, 2019PECOS EnrolledAccepts Medicare Assignment

13395 N MARANA MAIN ST, MARANA, AZ 85653(520) 682-4111(520) 682-3817 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 22, 2026, May 6, 2021, Apr 23, 2021 and 1 more (4 updates tracked since 2019).

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About Dr. Daniel Opiyo Maduma Dnp NPPES

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

DR. DANIEL OPIYO MADUMA DNP (NPI 1336609064) is an individual family provider in Marana, Arizona, licensed in Arizona (223756) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1336609064

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameDR. DANIEL OPIYO MADUMACredential: DNP

Location Address13395 N MARANA MAIN STMarana, AZ 85653-7008

Mailing Address13395 N Marana Main StMarana, AZ 85653-7008 · (520) 682-4111 · Fax (520) 818-3630

Phone(520) 682-4111

Fax(520) 682-3817

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMarch 20, 2019

Last NPPES UpdateSeptember 22, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2026

✔ NPI 1336609064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AZ · 223756

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 223756 (AZ)

13395 N MARANA MAIN ST, Marana, AZ 85653

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Other Identifiers 1

Medicaid513925AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc 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

Dr. Daniel Opiyo Maduma Dnp 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 ID2769725274

PECOS Enrollment IDI20190525000044

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 Maduma reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Marana Health Center Inc

Same address

Federally Qualified Health Center (FQHC)

13395 N MARANA MAIN ST
Marana, AZ 85653

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

NPI 1164526471 (520) 682-4111

Community Bridges, Inc.

22 mi

Community/Behavioral Health

250 S TOOLE AVE, SUITE C
Tucson, AZ 85701

Reassigned Medicare billing, Arizona enrollment
131 clinicians in this Medicare group

NPI 1427596196 (480) 831-7566

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.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85653 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

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