DR. DANIEL THEODORE MCCLENATHAN (MD) – Pediatric Gastroenterology Physician, NPI 1275511669

DR. DANIEL THEODORE MCCLENATHAN (MD) is a healthcare provider. based in St petersburg, Florida. specializing in GASTROENTEROLOGY, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. ME0042464 (FL). The NPI Number for DR. DANIEL THEODORE MCCLENATHAN (MD) is 1275511669

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
DR. DANIEL THEODORE MCCLENATHAN (MD)
NPI
1275511669
Phone
(727) 822-4300
Address
2901 58TH AVE N
Enumeration Date
5 January 2006
Last Update Date
20 January 2015

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Secondary Phone
7278224300
Graduation Year
1977 (49 years ago)
PAC ID
7719927888
Group Practice PAC ID
3476593534
Professional Enrollment ID
I20050511000238
Address ID
FL337014804ST601XXSXXX421
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,474 GASTROENTEROLOGY in FL

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Provider Addresses for DR. DANIEL THEODORE MCCLENATHAN (MD)

  • 58th Avenue North, Edgemoor, Saint Petersburg, Pinellas County, Florida, 33703, United States

    ST PETERSBURG, FL 337141326

    Phone: (727) 822-4300

    Fax: (727) 456-1399

    Type: Mailing

  • 5th Street South, Saint Petersburg, Pinellas County, Florida, 33705, United States

    SUITE #605

    ST PETERSBURG, FL 337014804

    Phone: (727) 822-4300

    Fax: (727) 456-1399

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-08-07 • Largest payer in this snapshot: Phadia US Inc. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Phadia US Inc.$18
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: 2005-05-11

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
I20050511000238IGastroenterologyFLTBD

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 33714)

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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: 3476593534View full group profile
NameSpecialtyState
Pediatric Medicine, GastroenterologyFL
Gastroenterology, Pediatric MedicineNY
-FL
Pediatric MedicineAL

Reviews

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Frequently asked questions

What is the standard ID for DR. DANIEL THEODORE MCCLENATHAN (MD) in the U.S.?
In the U.S., DR. DANIEL THEODORE MCCLENATHAN (MD) is identified by NPI 1275511669.
Is DR. DANIEL THEODORE MCCLENATHAN (MD)'s NPI status active today?
Active status means DR. DANIEL THEODORE MCCLENATHAN (MD)'s NPI record is not deactivated in the public file.
How should patients interpret DR. DANIEL THEODORE MCCLENATHAN (MD)'s specialty?
The extract shows Pediatric Gastroenterology Physician for DR. DANIEL THEODORE MCCLENATHAN (MD). Clinical services aligned with this taxonomy classification.
Is DR. DANIEL THEODORE MCCLENATHAN (MD) tied to St Petersburg, Florida?
If you are local to St Petersburg, Florida, DR. DANIEL THEODORE MCCLENATHAN (MD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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