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Deactivated NPI 1104934215 Deactivated / Inactive NPI Male Practitioner

Dr. Wendell David Daniels , MD

Internal Medicine • Longview, TX

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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. Wendell Daniels has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 28, 2006
NPI Deactivation Date August 28, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Wendell Daniels, MD was a registered Internal Medicine practicing in Longview, TX. Throughout an active medical career spanning 19 years, Dr. Daniels provided care at the practice location at 515 N 3RD until profile deactivation on 2025-08-28.

Historical Medicare Part B clinical services included established patient outpatient office visit, injection, triamcinolone acetonide, not otherwise specified, 10 mg, injection, sterile cefuroxime sodium, per 750 mg. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

515 N 3rd

Longview, TX 75606

Telephone 9037577377
Fax 9037572148
Associated Practice Facility / Clinic
🏢 Wendell D. Daniels M.d., P.a. Facility NPI 1730453051

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Longview, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.8 Yrs
State Avg: 26.2 Yrs
Regional Practice Density
103 Specialists

Practicing in Longview, TX (9538 Statewide)

Telehealth Adoption Rate
19.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
50.8% 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 (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
155 62 $139.00 $98.64
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
121 55 $40.00 $1.86
J0697 Injection, sterile cefuroxime sodium, per 750 mg
119 54 $30.00 $2.28
36415 Insertion of needle into vein for collection of blood sample
93 55 $5.94 $2.94

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX E6058

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 28, 2025

Record deactivated on August 28, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 515 N 3RD, LONGVIEW, TX 75606 (Tel: 9037577377)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 3406, LONGVIEW, TX 75606 (Tel: 9037577377)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WENDELL DANIELS, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #E6058 in TX)

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Initial NPI Registration & Enumeration August 28, 2006

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: 1104934215
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2006
Last Update: July 08, 2007
Deactivation Date: August 28, 2025

Mailing Address

Po Box 3406

Longview, TX 75606

Phone: 9037577377

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.