DR. JONATHAN PEARSON DANIELS (MD) – Obstetrics & Gynecology Physician, NPI 1043214935
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
357 OBSTETRICS/GYNECOLOGY in UT
Provider Addresses for DR. JONATHAN PEARSON DANIELS (MD)
5980 S Fashion Blvd
Murray, UT 841077362
Phone: (801) 384-4730
Fax: (385) 351-6778
Type: Location
1422 S ROXBURY RD
SALT LAKE CITY, UT 841082843
Phone: (801) 505-3182
Type: Mailing
82 S 1100 E STE 305
SALT LAKE CITY, UT 841024703
Phone: (801) 214-7650
Fax: (801) 214-7650
Type: Location
850, 300 South, East Central, Salt Lake City, Salt Lake County, Utah, 84102, United States
SUITE 1
SALT LAKE CITY, UT 841022332
Phone: (801) 322-1214
Fax: (801) 322-3613
Type: Mailing
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: 2022-05-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20091012000144 | I | Obstetrics/Gynecology | UT | TBD |
| I20220511002266 | I | Obstetrics/Gynecology | OR | 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 84107)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CO | |
| Radiation Oncology | TX | |
| - | CO | |
| Cardiovascular Disease (Cardiology) | NM | |
| Family Practice | OK | |
| Internal Medicine | CO | |
| - | IL | |
| Pulmonary Disease | CO | |
| - | CO | |
| Hospitalist, Geriatric Medicine, Internal Medicine | CO |
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