DAYAMED PA – General Practice Physician, NPI 1356077044
General Practice Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DAYAMED PA
640 Taylor St Ste 1200
Fort Worth, TX 761024828
Phone: (800) 931-5883
Type: Location
8520 Allison Pointe Blvd Ste 220
Indianapolis, IN 462504299
Phone: (800) 931-5883
Type: Location
1645 Palm Beach Lakes Blvd Ste 1200
West Palm Beach, FL 334012214
Phone: (800) 931-5883
Type: Location
4435 E Chandler Blvd Ste 200
Phoenix, AZ 850487651
Phone: (800) 931-5883
Type: Location
30 Old Kings Hwy S Fl 1
Darien, CT 068204551
Phone: (800) 913-5883
Type: Location
2620 Regatta Dr Ste 102
Las Vegas, NV 891286892
Phone: (800) 913-5883
Type: Location
1213 W Morehead St Ste 500
Charlotte, NC 282085581
Phone: (800) 913-5883
Type: Location
7381 W 133rd St Ste 200
Overland Park, KS 662134771
Phone: (800) 931-5883
Type: Location
300 Carnegie Ctr Ste 150
Princeton, NJ 085406285
Phone: (800) 931-5883
Type: Location
1800 JFK Blvd Ste 300
Philadelphia, PA 191037402
Phone: (800) 913-5883
Type: Location
1925 Grand Ave Ste 127
Billings, MT 591022776
Phone: (800) 931-5883
Type: Location
1000 N WEST ST STE 1200
WILMINGTON, DE 198011058
Phone:
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: 2024-12-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 18 Medicare enrollment records; no due dates published yet.
Enrollment records
18
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 |
|---|---|---|---|---|
| O20220921004060 | O | Clinic/Group Practice | FL | TBD |
| O20221004000726 | O | Clinic/Group Practice | NV | TBD |
| O20221021001109 | O | Clinic/Group Practice | KS | TBD |
| O20221025003107 | O | Clinic/Group Practice | NC | TBD |
| O20221108000101 | O | Clinic/Group Practice | TX | TBD |
| O20221220000976 | O | Clinic/Group Practice | IN | TBD |
| O20230117000028 | O | Clinic/Group Practice | NJ | TBD |
| O20230209001597 | O | Clinic/Group Practice | CT | TBD |
| O20230703000795 | O | Clinic/Group Practice | GA | TBD |
| O20230804000730 | O | Clinic/Group Practice | OH | TBD |
| O20231110001915 | O | Clinic/Group Practice | CO | TBD |
| O20231129000039 | O | Clinic/Group Practice | PA | TBD |
| O20231212001399 | O | Clinic/Group Practice | MT | TBD |
| O20240125000489 | O | Clinic/Group Practice | MO | TBD |
| O20240412001844 | O | Clinic/Group Practice | DC | TBD |
| O20240522003278 | O | Clinic/Group Practice | LA | TBD |
| O20240826001403 | O | Clinic/Group Practice | SC | TBD |
| O20241216000549 | O | Clinic/Group Practice | IL | 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 76102)
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