1. Home
  2. Directory
  3. New York
  4. Cooperstown
  5. Internal Medicine
  6. NPI Profile

MUHAMMAD DANIYAL
NPI 1356902431
Internal Medicine in Cooperstown, NY

Active since June 27, 2019PECOS EnrolledAccepts Medicare Assignment
86.64/100
CMS Quality Rating
1 ATWELL RD, COOPERSTOWN, NY 13326(607) 547-3456(607) 547-6612 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Muhammad Daniyal NPPES

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

MUHAMMAD DANIYAL (NPI 1356902431) is an individual internal medicine provider in Cooperstown, New York, licensed in Texas (V2720) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1356902431
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMUHAMMAD DANIYAL
Location Address1 ATWELL RDCooperstown, NY 13326-1301
Mailing AddressPo Box 725Cooperstown, NY 13326-0725 · (607) 547-3456 · Fax (607) 547-6612
Phone(607) 547-3456
Fax(607) 547-6612
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 27, 2019
Last NPPES UpdateMarch 13, 2025
NPPES CertifiedMarch 13, 2025
✔ NPI 1356902431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · V2720
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1 ATWELL RD, Cooperstown, NY 13326
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Wellmark Health Plan of Iowa, 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

Muhammad Daniyal 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 ID9335522317
PECOS Enrollment IDI20260305000926
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

2

Medicare enrollment records show Muhammad Daniyal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Avera Mckennan
1,082 mi
Rural Health
1100 S 10TH AVE, STE 100
Rock Rapids, IA 51246
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,277 clinicians in this Medicare group
NPI 1003389206 (712) 472-5300
Hospitalist Medicine Physicians Of Texas, PLLC
1,427 mi
Internal Medicine
18951 N MEMORIAL DR
Humble, TX 77338
  • Reassigned Medicare billing, Texas enrollment
  • 2,009 clinicians in this Medicare group
NPI 1629307095 (281) 540-7700

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 4

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 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.
82 services80 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.
75 services36 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
19 services19 patients
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.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13326 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.13
Promoting Interoperability74
Improvement Activities40

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.

SHIRLEY SCHUE ARNP
Nurse Practitioner (Pediatrics)
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-6982
MARGUERITE DUPLESSIS PA-C
Physician Assistant
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-3153
KYLE NICK PA-C
Physician Assistant
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-3456
MS. BARBARA MARY SEPP LCSW
Social Worker (Clinical)
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-3500
PATRICIA LINDSAY PA-C
Physician Assistant (Surgical)
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-3400
HAYLEE SMITH
Physician Assistant
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-3456
DR. CHRIS L KJOLHEDE M.D.
Pediatrics
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-3290
ELIZABETH FINAN GUINEY L.M., C.M.
Midwife
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-3160

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 Muhammad Daniyal's NPI number?

The NPI number for Muhammad Daniyal is 1356902431. It was assigned to this individual provider in the NPPES registry on June 27, 2019.

Where is Muhammad Daniyal located?

Muhammad Daniyal practices at 1 Atwell Rd, Cooperstown, NY 13326. The listed phone number is (607) 547-3456.

What is Muhammad Daniyal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Muhammad Daniyal enrolled in Medicare?

Yes. Muhammad Daniyal 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 Muhammad Daniyal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Muhammad Daniyal reassigns Medicare benefits to 2 organizations: Avera Mckennan (Rock Rapids, IA) and Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX). 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 Muhammad Daniyal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Muhammad Daniyal accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Muhammad Daniyal 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 Muhammad Daniyal affiliated with any hospitals?

According to CMS data, Muhammad Daniyal is affiliated with Avera Mckennan Hospital & University Health Center.

When was this NPI record last updated?

The NPPES record for Muhammad Daniyal was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.