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

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: October 18, 2026.

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, maintains a secondary practice location in Bryn Mawr, 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
Open in Google Maps ↗

Secondary Practice Location 1

Location 1130 S Bryn Mawr AveBryn Mawr, PA 19010-3121 · Phone (888) 227-3898

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware 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 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.

Medicare Billing Reassignments

2

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

Jefferson University Physicians
0.1 mi
General Practice
33 S. 9TH STREET
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,739 clinicians in this Medicare group
NPI 1326093675 (215) 955-0000
Main Line Healthcare
14 mi
Family Medicine
3803 WEST CHESTER PIKE, H BLDG SUITE 160
Newtown Square, PA 19073
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,638 clinicians in this Medicare group
NPI 1922077643 (484) 337-1585

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
833 CHESTNUT ST STE 210
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5638
HEATHER KETTLEWELL MD
Student in an Organized Health Care Education/Training Program
833 CHESTNUT ST STE 210
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8420
VICTORIA SANDERS
Student in an Organized Health Care Education/Training Program
833 CHESTNUT ST STE 210
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5638
MR. LIAM MULLIGAN LCSW
Social Worker (Clinical)
833 CHESTNUT ST STE 210
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8962
DR. MEGHAN O'ROURKE DO
Psychiatry & Neurology (Psychiatry)
833 CHESTNUT ST STE 210
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8420
ETHAN REED SIEGEL DO
Psychiatry & Neurology (Psychiatry)
833 CHESTNUT ST STE 210
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8420
CHLOE HAM MD
Student in an Organized Health Care Education/Training Program
833 CHESTNUT ST STE 210
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8420
DR. SOPHIA YOUN DO
Psychiatry & Neurology (Psychiatry)
833 CHESTNUT ST STE 210
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8420

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 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.

Where is Daniel Ezzo located?

Daniel Ezzo practices at 833 Chestnut St Ste 210, Philadelphia, PA 19107. The listed phone number is (215) 955-8420.

What is Daniel Ezzo's specialty?

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

Is Daniel Ezzo enrolled in Medicare?

Yes. Daniel Ezzo 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 Daniel Ezzo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Ezzo reassigns Medicare benefits to 2 organizations: Jefferson University Physicians (Philadelphia, PA) and Main Line Healthcare (Newtown Square, PA). 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 Daniel Ezzo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Ezzo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Highmark Blue Cross Blue Shield Delaware list Daniel Ezzo 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.

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 13 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.