DR. DAVID N DANIELS (MD) – Psychiatry Physician, NPI 1639512809

DR. DAVID N DANIELS (MD) is a healthcare provider. based in Maywood, Illinois. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 2021011433 (MO). The NPI Number for DR. DAVID N DANIELS (MD) is 1639512809

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID N DANIELS (MD)
NPI
1639512809
Phone
(708) 216-3750
Address
2160 S 1ST AVE
Enumeration Date
8 April 2013
Last Update Date
17 April 2025

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
3142864545
Graduation Year
2013 (13 years ago)
PAC ID
2365744745
Group Practice PAC ID
1759341852
Professional Enrollment ID
I20210428000552
Address ID
MO631082810SA4245XAVEX400
Telehealth
Yes

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

1,367 PSYCHIATRY in IL

Provider Addresses for DR. DAVID N DANIELS (MD)

  • 2160 S 1ST AVE

    LOYOLA UNIVERSITY MEDICAL CENTER, FAHEY PSYCHIATRY

    MAYWOOD, IL 601533328

    Phone: (708) 216-3750

    Fax: (708) 216-6840

    Type: Mailing

  • 1 BARNES JEWISH HOSPITAL PLZ

    DEPT PSYCHIATRY

    SAINT LOUIS, MO 631101003

    Phone: (314) 286-1700

    Fax: (314) 970-9094

    Type: Location

  • PO BOX 7412011

    CHICAGO, IL 606742011

    Phone: (314) 286-1700

    Fax: (314) 970-9094

    Type: Mailing

  • 660 S EUCLID AVE

    CB 8134

    SAINT LOUIS, MO 631101010

    Phone: (314) 286-1700

    Fax: (314) 362-7017

    Type: Mailing

  • 600 S TAYLOR AVE

    DEPT PSYCHIATRY, STE 122

    SAINT LOUIS, MO 631101035

    Phone: (314) 286-1700

    Fax: (314) 362-7017

    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: 2021-04-28

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
I20210428000552IPsychiatryMOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes14825$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5251$0
View full utilization report →

Insurance plans in this area (ZIP 60153)

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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: 1759341852View full group profile

Reviews

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Frequently asked questions

What is DR. DAVID N DANIELS (MD)'s NPI number?
DR. DAVID N DANIELS (MD)'s NPI is 1639512809 — the number used across U.S. healthcare to identify this provider.
Is DR. DAVID N DANIELS (MD) still an active registrant?
DR. DAVID N DANIELS (MD) carries an active NPI according to the public dataset.
How would a patient describe DR. DAVID N DANIELS (MD)'s focus?
For DR. DAVID N DANIELS (MD), the primary taxonomy reads as Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is DR. DAVID N DANIELS (MD) associated with Maywood?
Public fields place DR. DAVID N DANIELS (MD) around Maywood, Illinois. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DR. DAVID N DANIELS (MD) is noted as April 8, 2013 where the registry provides it.

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