DR. JOHN S DANIELS (MD) – Internal Medicine Physician, NPI 1104978964
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. JOHN S DANIELS (MD)
Siteman Cancer Center, 4921, Parkview Place, BJC, City of Saint Louis, Missouri, 63110, United States
STE 13A
SAINT LOUIS, MO 631101032
Phone: (314) 333-4100
Fax: (314) 333-4115
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: 2004-08-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040811001272 | I | Internal Medicine | MO | TBD |
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.
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 63110)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ENDOCRINOLOGY | MO | 90670 | Pneumococcal vaccine for injection into muscle | 22 | 22 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MO | |
| Internal Medicine | MO | |
| Nurse Practitioner | MO | |
| Endocrinology, Internal Medicine | MA | |
| Internal Medicine | MO | |
| Nurse Practitioner | MO | |
| Endocrinology, Internal Medicine | IL | |
| Internal Medicine | MO | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
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