DR. MICHAEL MEDHAT DANIEL (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1861912438

DR. MICHAEL MEDHAT DANIEL (DPM) is a healthcare provider. based in Modesto, California. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. E5682 (CA). The NPI Number for DR. MICHAEL MEDHAT DANIEL (DPM) is 1861912438

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL MEDHAT DANIEL (DPM)
NPI
1861912438
Phone
(209) 850-4102
Address
1213 COFFEE RD STE A
Enumeration Date
23 June 2017
Last Update Date
4 January 2023

Doctor Profile

Medical School Name
R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Secondary Phone
6617297100
Graduation Year
2017 (9 years ago)
PAC ID
5092125310
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20201027002839
Address ID
CA935347211LA615XXLXXX400

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

1,833 PODIATRY in CA

Provider Addresses for DR. MICHAEL MEDHAT DANIEL (DPM)

  • 1213 COFFEE RD STE A

    MODESTO, CA 953554229

    Phone: (209) 850-4102

    Fax: (209) 330-3655

    Type: Mailing

  • 615 W AVENUE L

    LANCASTER, CA 935347211

    Phone: (833) 574-2273

    Fax: (661) 951-4020

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $259.

Total Amount is formed as General ($259) + Research ($0) + Ownership ($0) = $259.

Last reported payment date: 2023-02-10 • Largest payer in this snapshot: Paragon 28, Inc. ($259).

Total Amount

$259

General + Research + Ownership

Payments

2

Total payment records

General Amount

$259

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Paragon 28, Inc.$259
View all Open Payments →|Open Payments Risk Radar →

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: 2020-10-27

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
I20201027002839IPodiatryCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95355)

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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: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
Physician AssistantCA
Emergency MedicineNC
O P H T H A L M O L O G YCA
Anesthesiology, Pain ManagementNH
Family Practice, Sports MedicineCA

Reviews

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Frequently asked questions

What NPI should I save for DR. MICHAEL MEDHAT DANIEL (DPM)?
Save NPI 1861912438 if you need a stable reference for DR. MICHAEL MEDHAT DANIEL (DPM).
Is DR. MICHAEL MEDHAT DANIEL (DPM) active in the national directory?
DR. MICHAEL MEDHAT DANIEL (DPM)'s public NPI profile is in an active state.
What does DR. MICHAEL MEDHAT DANIEL (DPM) treat or focus on?
Patients typically see DR. MICHAEL MEDHAT DANIEL (DPM) under the specialty Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
What location shows for DR. MICHAEL MEDHAT DANIEL (DPM)?
We surface Modesto, California for DR. MICHAEL MEDHAT DANIEL (DPM) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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