DR. DANIEL L KINGLOFF (MD) – Orthopaedic Surgery Physician, NPI 1104821065

DR. DANIEL L KINGLOFF (MD) is a healthcare provider. based in Atlanta, Georgia. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 019396 (GA). The NPI Number for DR. DANIEL L KINGLOFF (MD) is 1104821065

Main info

Male
53 Years Of Experience
Accepts Medicare Assignment
Name
DR. DANIEL L KINGLOFF (MD)
NPI
1104821065
Phone
(404) 257-1212
Address
993C JOHNSON FERRY RD NE
Enumeration Date
16 June 2005
Last Update Date
27 August 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6789217007
Graduation Year
1973 (53 years ago)
PAC ID
1759476609
Group Practice PAC ID
4880082817
Professional Enrollment ID
I20071008000004
Address ID
GA300054478AL4165XPKWY401
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

933 ORTHOPEDIC SURGERY in GA

Provider Addresses for DR. DANIEL L KINGLOFF (MD)

  • 993C JOHNSON FERRY RD NE

    STE 110

    ATLANTA, GA 303424747

    Phone: (404) 257-1212

    Fax: (404) 252-7092

    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: 2007-10-08

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
I20071008000004IOrthopedic SurgeryGATBD

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
J7320Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg13,050113$0
Q9965Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml4,782138$0
J3304Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg1,12027$0
20610Aspiration and/or injection of fluid from large joint480138$0
77002Fluoroscopic guidance for needle placement470136$0
View full utilization report →

Insurance plans in this area (ZIP 30342)

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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: 4880082817View full group profile
NameSpecialtyState
Emergency MedicineMD
Interventional Radiology, Diagnostic RadiologyGA

Reviews

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Frequently asked questions

How do payers reference DR. DANIEL L KINGLOFF (MD)?
For DR. DANIEL L KINGLOFF (MD), use NPI 1104821065 as the unique 10-digit identifier.
Is there an active status for DR. DANIEL L KINGLOFF (MD)?
For scheduling context, DR. DANIEL L KINGLOFF (MD) is shown as active in the registry.
What kind of doctor is DR. DANIEL L KINGLOFF (MD)?
DR. DANIEL L KINGLOFF (MD) is associated with Orthopaedic Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. DANIEL L KINGLOFF (MD)?
Directory geography for DR. DANIEL L KINGLOFF (MD) centers on Atlanta, Georgia.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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