Dr. John Moncure Daniel IV, MD

Pediatrics, Neonatal-Perinatal Medicine in Kansas City, MO. Individual provider (NPI-1).

NPI number1295023745

StatusActive

Last updated in NPPESJul 21, 2022

Details

NPI: 1295023745
Entity type: Individual (NPI-1)
Name: Dr. John Moncure Daniel IV
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Jul 19, 2011
Last updated: Jul 21, 2022

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - PEDIATRIC MEDICINE
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2080N0001X	Pediatrics, Neonatal-Perinatal Medicine	2017011259	MO	Yes
2080N0001X	Pediatrics, Neonatal-Perinatal Medicine	TP679	KY
2080N0001X	Pediatrics, Neonatal-Perinatal Medicine	47376	KS

Practice location

2401 Gillham Rd
Kansas City, MO 64108-4619

Phone 816-234-3000

Mailing address

2401 Gillham Rd.
Provider Enrollment
Kansas City, MO 64108-4619

Phone 816-701-5200

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Other Neonatal-Perinatal Medicine Physician providers in Kansas City, MO

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