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Deactivated NPI 1659369692 Deactivated / Inactive NPI Male Practitioner

Dr. John M Daly , MD

Surgery • Philadelphia, PA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Daly has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 13, 2005
NPI Deactivation Date June 16, 2021
Total Practice Duration ~16 Years of Practice (2005 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. John Daly, MD was a registered Surgery practicing in Philadelphia, PA. Throughout an active medical career spanning 16 years, Dr. Daly provided care at the practice location at 3401 N BROAD ST until profile deactivation on 2021-06-16.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit, partial removal of breast. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3401 N Broad St

Philadelphia, PA 191405103

Telephone 2157073133
Fax 2157073945
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Philadelphia, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.6 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
455 Specialists

Practicing in Philadelphia, PA (1976 Statewide)

Telehealth Adoption Rate
10.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
59.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
25 23 $105.00 $27.03
99213 Established patient office or other outpatient visit, typically 15 minutes
13 11 $130.00 $53.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
13 13 $300.00 $136.59

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD035044E

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003038761

Doctor of Medicine (M.D.)

NPI 1013336890

Doctor of Medicine (M.D.)

NPI 1013398528

Doctor of Medicine (M.D.)

NPI 1013934843

Doctor of Medicine (M.D.)

NPI 1013967884

Doctor of Medicine (M.D.)

NPI 1033648720

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
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NPI Profile Deactivated June 16, 2021

Record deactivated on June 16, 2021

NPI Profile Active March 21, 2017

NPI status registered as active in NPPES database

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Updated Practice Location March 21, 2017

Registered at 3401 N BROAD ST, 4TH FL, PHILADELPHIA, PA 191405103 (Tel: 2157073133)

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Updated Business Mailing Address March 21, 2017

Registered at 2450 W HUNTING PARK AVE, 3/208N, PHILADELPHIA, PA 191291302 (Tel: 2157073133)

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Provider Name / Credentials Updated March 21, 2017

Recorded as JOHN DALY, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2017

Surgery (License #MD035044E in PA)

NPI Profile Active October 03, 2011

NPI status registered as active in NPPES database

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Updated Practice Location October 03, 2011

Registered at 3401 N BROAD ST, PHILADELPHIA, PA 191405103 (Tel: 2157073133)

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Updated Business Mailing Address October 03, 2011

Registered at 2450 W HUNTING PARK AVE, 3/208N, PHILADELPHIA, PA 191291302 (Tel: 2157074739)

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Provider Name / Credentials Updated October 03, 2011

Recorded as JOHN DALY, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2011

Surgery (License #MD035044E in PA)

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Initial NPI Registration & Enumeration October 13, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659369692
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2005
Last Update: October 03, 2011
Deactivation Date: June 16, 2021

Mailing Address

2450 W Hunting Park Ave, 3/208n

Philadelphia, PA 191291302

Phone: 2157074739

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.