DR. DANIEL JAY PODBERESKY (M.D.) – Pediatric Radiology Physician, NPI 1740268077

DR. DANIEL JAY PODBERESKY (M.D.) is a healthcare provider. based in Orlando, Florida. specializing in Pediatric Radiology Physician. They hold the professional credentials M.D.. They hold a License No. C10011071 (DE). The NPI Number for DR. DANIEL JAY PODBERESKY (M.D.) is 1740268077

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. DANIEL JAY PODBERESKY (M.D.)
NPI
1740268077
Phone
(407) 650-7000
Address
1717 S Orange Ave
Enumeration Date
6 January 2006
Last Update Date
15 September 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Secondary Phone
4075674000
Graduation Year
1998 (28 years ago)
PAC ID
7315023546
Group Practice PAC ID
9537072483
Professional Enrollment ID
I20141023001543
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

Provider Addresses for DR. DANIEL JAY PODBERESKY (M.D.)

  • 1717 S Orange Ave

    Suite 100

    Orlando, FL 328062944

    Phone: (407) 650-7000

    Fax: (407) 567-5924

    Type: Location

  • 191, Mill Street, Rockport, Knox County, Maine, 04856, United States

    ROCKLAND, DE 197320191

    Phone: (302) 651-6212

    Fax: (302) 651-4945

    Type: Mailing

  • Nemours Parkway, Medical City, Orlando, Orange County, Florida, 32827-7401, United States

    ORLANDO, FL 328277884

    Phone: (407) 567-4000

    Fax: (407) 567-5924

    Type: Location

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: 2018-04-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20141023001543IDiagnostic RadiologyFLTBD
I20141024000297IDiagnostic RadiologyDETBD
I20180403002514IDiagnostic RadiologyNJTBD

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 32806)

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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: 9537072483View full group profile
NameSpecialtyState
-AR
Infectious Disease, Pediatric MedicineDE
Diagnostic RadiologyDE
Emergency Medicine, Pediatric MedicineDE
Pediatric MedicineDE
A N E S T H E S I O L O G YPA
Pediatric MedicinePA
A N E S T H E S I O L O G YGA
-DE
Critical Care (Intensivists)DE

Reviews

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Frequently asked questions

What NPI should I save for DR. DANIEL JAY PODBERESKY (M.D.)?
Save NPI 1740268077 if you need a stable reference for DR. DANIEL JAY PODBERESKY (M.D.).
Is DR. DANIEL JAY PODBERESKY (M.D.) currently active in the NPI registry?
CMS-published data lists DR. DANIEL JAY PODBERESKY (M.D.) as an active registrant.
What kind of provider is DR. DANIEL JAY PODBERESKY (M.D.)?
The page reflects Pediatric Radiology Physician for DR. DANIEL JAY PODBERESKY (M.D.). Clinical services aligned with this taxonomy classification.
Where is DR. DANIEL JAY PODBERESKY (M.D.)'s primary listing?
We display Orlando, Florida because that is what the record indicates for DR. DANIEL JAY PODBERESKY (M.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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