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

Dr. Tyrell Larry Junior Daniel, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1427629997

Dr. Tyrell Larry Junior Daniel, MD is a Hospitalist in Woodbridge, Virginia. Qualified in 2021, 5 years ago. Practices with Southeastern Intensivist Services PC, a 237-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
5
Licensed in
VA
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2300 Opitz Blvd
Woodbridge, VA 22191-3311
Phone: (703) 523-1000
Fax: (703) 670-2089
Show map & directions

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

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 0101281471 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1427629997
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2021
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024
Mailing address2300 Opitz Blvd, Woodbridge, VA 22191-3311

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Southeastern Intensivist Services Pc — 237 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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