Individual provider Active NPI

Daniel Raymond Braschayko, FNP

  • Family Nurse Practitioner
  • Sterling Heights, MI
National Provider Identifier
1003587759
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F07211434 Issued in MI
Practice address
37450 Dequindre Rd
Sterling Heights, MI 48310-3503
Phone
(586) 979-5100
NPI assigned
Sep 22, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F07211434 MI Primary

Addresses

Primary practice location

37450 Dequindre Rd
Sterling Heights, MI 48310-3503

Mailing address

8305 Timberline Dr
Shelby Township, MI 48316-4555
Phone (586) 703-1341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211119002285 MI Practitioner - Nurse Practitioner 3476942046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-County Medical Clinic PCGroup PAC ID 1355326885, 6 clinicians

Practice addresses (Care Compare)

37450 Dequindre Rd
Sterling Heights, MI 48310-3503
Phone (586) 979-5100

Hospital & facility affiliations

  • 1St Call Home Health Services Home health agency, Clinton Township, MI, CCN 239339
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F07211434MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Medical Clinic, P.C. CurrentSince Oct 25, 2021 Accepting new patients

Locations

37450 Dequindre Rd
Sterling Hts, MI 48310
Phone (586) 979-5100

6445 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 592-2002

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1003587759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8305 TIMBERLINE DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483164555",
            "telephone_number": "586-703-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37450 DEQUINDRE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483103503",
            "telephone_number": "586-979-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASCHAYKO",
        "first_name": "DANIEL",
        "middle_name": "RAYMOND",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "F07211434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.