DR. PAUL D DANIELSON (M.D.) – Pediatric Surgery Physician, NPI 1679555098

DR. PAUL D DANIELSON (M.D.) is a healthcare provider. based in St petersburg, Florida. specializing in GENERAL SURGERY, PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME102019 (FL). The NPI Number for DR. PAUL D DANIELSON (M.D.) is 1679555098

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. PAUL D DANIELSON (M.D.)
NPI
1679555098
Phone
(727) 767-4170
Address
601 5TH ST S
Enumeration Date
20 November 2005
Last Update Date
7 October 2010

Doctor Profile

Medical School Name
UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Secondary Phone
7277274429
Graduation Year
1992 (34 years ago)
PAC ID
7315023686
Group Practice PAC ID
7113989849
Professional Enrollment ID
I20230320002812
Address ID
FL337014804ST601XXSXXX416
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

2,163 GENERAL SURGERY in FL

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Provider Addresses for DR. PAUL D DANIELSON (M.D.)

  • 601, 5th Street South, Roser Park, Saint Petersburg, Pinellas County, Florida, 33701, United States

    DEPARTMENT 70-6600 3RD FLOOR

    ST PETERSBURG, FL 33701

    Phone: (727) 767-4170

    Fax: (727) 767-4346

    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: 2023-03-20

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
I20230320002812IGeneral SurgeryFLTBD

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 33701)

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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: 7113989849View full group profile
NameSpecialtyState
Nurse PractitionerFL
Pulmonary DiseaseFL
H O S P I T A L I S TFL
H O S P I T A L I S TFL
Pediatric Medicine, Cardiovascular Disease (Cardiology)FL
Cardiovascular Disease (Cardiology)FL
Certified Registered Nurse Anesthetist (Crna)FL
General SurgeryVA
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YLA

Reviews

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Frequently asked questions

What federal number belongs to DR. PAUL D DANIELSON (M.D.)?
The federal identifier for DR. PAUL D DANIELSON (M.D.) is NPI 1679555098.
Is DR. PAUL D DANIELSON (M.D.)'s NPI currently valid?
The extract we use shows DR. PAUL D DANIELSON (M.D.) as active.
What field does DR. PAUL D DANIELSON (M.D.) work in?
You can think of DR. PAUL D DANIELSON (M.D.) as practicing within Pediatric Surgery Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. PAUL D DANIELSON (M.D.)?
The page summarizes St Petersburg, Florida for DR. PAUL D DANIELSON (M.D.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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