DANIEL T JR. PURDOM (MD) – Geriatric Medicine (Family Medicine) Physician, NPI 1659336212

DANIEL T JR. PURDOM (MD) is a healthcare provider. based in Kansas city, Missouri. specializing in Geriatric Medicine (Family Medicine) Physician. They hold the professional credentials MD. They hold a License No. R8J68 (MO). The NPI Number for DANIEL T JR. PURDOM (MD) is 1659336212

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL T JR. PURDOM (MD)
NPI
1659336212
Phone
(816) 474-4920
Address
825 EUCLID AVE
Enumeration Date
18 April 2006
Last Update Date
19 September 2019

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
8164046500
Graduation Year
1988 (38 years ago)
PAC ID
8628073269
Group Practice PAC ID
1153235825
Professional Enrollment ID
I20061003000492
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for DANIEL T JR. PURDOM (MD)

  • 825, Euclid Avenue, Pendleton Heights, Kansas City, Jackson County, Missouri, 64124, United States

    KANSAS CITY, MO 641242323

    Phone: (816) 474-4920

    Fax: (816) 889-1847

    Type: Mailing

  • Truman Medical Center Lakewood, 7900, Lee's Summit Road, Kansas City, Jackson County, Missouri, 64139, United States

    KANSAS CITY, MO 641391236

    Phone: (816) 404-7650

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 64124)

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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: 1153235825View full group profile
NameSpecialtyState
D E R M A T O L O G YDC
D E R M A T O L O G YMO
O B S T E T R I C S/ G Y N E C O L O G YMO
Internal MedicineMO
-MO
P S Y C H I A T R YMO
P S Y C H I A T R YMO
Orthopedic SurgeryMO
Orthopedic SurgeryPA
P S Y C H I A T R YMO

Reviews

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Frequently asked questions

Does DANIEL T JR. PURDOM (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DANIEL T JR. PURDOM (MD) uses 1659336212.
Can I rely on DANIEL T JR. PURDOM (MD) being an active provider?
As of the registry snapshot, DANIEL T JR. PURDOM (MD) is marked active.
What taxonomy line describes DANIEL T JR. PURDOM (MD)?
For research purposes, treat DANIEL T JR. PURDOM (MD) as Geriatric Medicine (Family Medicine) Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DANIEL T JR. PURDOM (MD) list a practice location?
Patients near Kansas City, Missouri may find DANIEL T JR. PURDOM (MD) in results; validate coverage separately.
Why does DANIEL T JR. PURDOM (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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