DAN L ANDRUS (MD) – Family Medicine Physician, NPI 1689624652

DAN L ANDRUS (MD) is a healthcare provider. based in Rancho mirage, California. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. A31470 (CA). The NPI Number for DAN L ANDRUS (MD) is 1689624652

Main info

Male
52 Years Of Experience
Accepts Medicare Assignment
Name
DAN L ANDRUS (MD)
NPI
1689624652
Phone
(760) 834-3593
Address
72780 COUNTRY CLUB DR STE 203
Enumeration Date
11 May 2006
Last Update Date
2 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7606107200
Graduation Year
1974 (52 years ago)
PAC ID
0749185692
Group Practice PAC ID
5890689657
Professional Enrollment ID
I20090807000296
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DAN L ANDRUS (MD)

  • 72780 COUNTRY CLUB DR STE 203

    RANCHO MIRAGE, CA 922704150

    Phone: (760) 834-3593

    Fax: (760) 674-3845

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-08-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090807000296IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes489472$0
99213Established patient office or other outpatient visit, 20-29 minutes268258$0
99203New patient office or other outpatient visit, 30-44 minutes7777$0
99215Established patient office or other outpatient visit, 40-54 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 92270)

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Provider's Procedures

DAN L ANDRUS (MD) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINECA93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report1717

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890689657View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YCA
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)CA
-CA
-CA
Hematology/Oncology, Internal MedicineCA
Nurse PractitionerCA
Family PracticeCA
Physician AssistantCA
H O S P I T A L I S TCA
Internal MedicineCA

Reviews

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Frequently asked questions

How is DAN L ANDRUS (MD) identified in CMS data?
CMS-hosted NPPES data lists DAN L ANDRUS (MD) with NPI 1689624652.
Is DAN L ANDRUS (MD) still practicing?
DAN L ANDRUS (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes DAN L ANDRUS (MD)?
For research purposes, treat DAN L ANDRUS (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DAN L ANDRUS (MD) based?
DAN L ANDRUS (MD) is tied to Rancho Mirage, California in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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