DR. DANIEL RAYMOND EZZO MD
NPI 1790365625
Psychiatry & Neurology - Psychiatry in Philadelphia, PA

Q: What is Daniel Ezzo's NPI number?

The NPI number for Daniel Ezzo is 1790365625. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Q: What is Daniel Ezzo's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Ezzo was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since April 13, 2021PECOS EnrolledAccepts Medicare Assignment

833 CHESTNUT ST STE 210, PHILADELPHIA, PA 19107(215) 955-8420(215) 503-0429 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Dr. Daniel Raymond Ezzo Md NPPES

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

DR. DANIEL RAYMOND EZZO MD (NPI 1790365625) is an individual psychiatry provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD486725) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2021).

NPPES Registry Identity

NPI1790365625

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. DANIEL RAYMOND EZZOCredential: MD

Location Address833 CHESTNUT ST STE 210Philadelphia, PA 19107-4405

Mailing Address833 Chestnut St Ste 210Philadelphia, PA 19107-4405 · (215) 955-5638 · Fax (215) 503-6116

Phone(215) 955-8420

Fax(215) 503-0429

Sole ProprietorNo

Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2021

Enumeration DateApril 13, 2021

Last NPPES UpdateAugust 28, 2025

NPPES CertifiedAugust 28, 2025

✔ NPI 1790365625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in PA · MD486725

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

833 CHESTNUT ST STE 210, Philadelphia, PA 19107

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Daniel Raymond Ezzo 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 ID8628487774

PECOS Enrollment IDI20250923000502

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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

$180.99 typical visit price

range $59.88 – $180.99

Typical copayment $45.24 (range $14.97 – $45.24)

Most-billed visit code 99205

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

Most-billed visit code 99213

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.

ERIC GRAMSZLO

Student in an Organized Health Care Education/Training Program