Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Conrad Joseph Daniel

Individual provider Physician Assistant · NPI 1598449860

Conrad Joseph Daniel is a Physician Assistant in Indianapolis, Indiana. Qualified in 2023, 3 years ago. Practices with Legacy Clinics LLC, a 718-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Oregon.

Years since qualifying
3
Licensed in
IN, OR
In the registry since
2023
Specialties on file
3
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1230 E Cragmont Dr
Indianapolis, IN 46227-4834
Phone: (317) 437-9880
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 19250 Sw 65th Ave Ste 200, Tualatin, OR 97062-7707 — (503) 413-2005

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA224057 (OR)
Physician Assistant Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence 10004307A (IN)

Record details

NPI number1598449860
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 14, 2023
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025
Mailing address1230 E Cragmont Dr, Indianapolis, IN 46227-4834

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Indianapolis