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DANIEL R PONTICIELLO MD
NPI 1417185273
Internal Medicine - Critical Care Medicine in Mission Viejo, CA

Active since June 30, 2009PECOS EnrolledAccepts Medicare Assignment
26800 CROWN VALLEY PKWY STE 205, MISSION VIEJO, CA 92691(949) 364-3330(949) 364-2886 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 28, 2020, May 8, 2018 (2 updates tracked since 2018).

About Daniel R Ponticiello Md NPPES

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

DANIEL R PONTICIELLO MD (NPI 1417185273) is an individual critical care medicine provider in Mission Viejo, California, licensed in California (A120221) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1417185273
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDANIEL R PONTICIELLOCredential: MD
Location Address26800 CROWN VALLEY PKWY STE 205Mission Viejo, CA 92691-6384
Mailing Address26522 La Alameda, Suite 120Mission Viejo, CA 92691-6330 · (949) 282-1671 · Fax (949) 367-0518
Phone(949) 364-3330
Fax(949) 364-2886
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 30, 2009
Last NPPES UpdateOctober 28, 20202 updates tracked since enumeration
NPPES CertifiedOctober 28, 2020
✔ NPI 1417185273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in CA · A120221
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 253745 (NY)
26800 CROWN VALLEY PKWY STE 205, Mission Viejo, CA 92691
Open in Google Maps ↗

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 R Ponticiello Md 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 ID8729131123
PECOS Enrollment IDI20120621000618
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 Reassignment

Medicare enrollment records show Daniel Ponticiello reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Providence Medical Foundation
0.1 mi
Family Medicine
26522 LA ALAMEDA, SUITE 120
Mission Viejo, CA 92691
  • Reassigned Medicare billing, California enrollment
  • 1,699 clinicians in this Medicare group
NPI 1427305960 (949) 364-9631

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 7

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
826 services264 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
252 services139 patients
Aspiration of initial secretion of lung airway using an endoscope 31645
This procedure involves using a thin, flexible tube called an endoscope to collect initial secretions from your lung airway. This helps doctors diagnose and treat respiratory conditions. It's a safe, minimally invasive procedure.
30 services18 patients
Irrigation and suction of lung airways to obtain cells using an endoscope 31624
This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.
27 services16 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
27 services22 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.
22 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92691 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 4

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

DR. GEORGE L SCHIFFMAN M.D.
Internal Medicine (Sleep Medicine)
26800 CROWN VALLEY PKWY STE 205
MISSION VIEJO, CA 92691
Orange County (949) 364-3330
GISELE KABBACH MD
Internal Medicine (Pulmonary Disease)
26800 CROWN VALLEY PKWY STE 205
MISSION VIEJO, CA 92691
Orange County (949) 364-3330
LAURYN MICHELLE BRINK NP
Nurse Practitioner (Acute Care)
26800 CROWN VALLEY PKWY STE 205
MISSION VIEJO, CA 92691
Orange County (805) 456-6349
KATHRYN ELOISE KENNEDY PA-C
Physician Assistant
26800 CROWN VALLEY PKWY STE 205
MISSION VIEJO, CA 92691
Orange County (949) 364-3330

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 Ponticiello's NPI number?

The NPI number for Daniel Ponticiello is 1417185273. It was assigned to this individual provider in the NPPES registry on June 30, 2009.

Where is Daniel Ponticiello located?

Daniel Ponticiello practices at 26800 Crown Valley Pkwy Ste 205, Mission Viejo, CA 92691. The listed phone number is (949) 364-3330.

What is Daniel Ponticiello's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Daniel Ponticiello enrolled in Medicare?

Yes. Daniel Ponticiello 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 organization bills Medicare for Daniel Ponticiello's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Ponticiello reassigns Medicare benefits to Providence Medical Foundation (Mission Viejo, CA). The 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 Ponticiello'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 Daniel Ponticiello was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.