Individual provider Active NPI

Antony James Daros, DO

  • Family Medicine Physician
  • Grand Blanc, MI
National Provider Identifier
1003800350
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101013144 Issued in MI
Practice address
8275 Holly Rd
Ste 1
Grand Blanc, MI 48439-2442
Phone
(810) 603-0990
Fax
(810) 603-1678
NPI assigned
Sep 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101013144 MI Primary

Addresses

Primary practice location

8275 Holly Rd
Ste 1
Grand Blanc, MI 48439-2442

Mailing address

8275 Holly Rd
Ste 1
Grand Blanc, MI 48439-2442
Phone (810) 603-0990

Other identifiers 1

IdentifierTypeStateIssuer
4613396MedicaidMI

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080916000193 MI Practitioner - Family PracticePractitioner - Osteopathic Manipulative MedicinePractitioner - Addiction Medicine 2668549700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine, Osteopathic Manipulative Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8275 Holly Rd
Suite 1
Grand Blanc, MI 48439-2442
Phone (810) 603-0990

Hospital & facility affiliations

  • Residential Home Health and Hospice Home health agency, Lapeer, MI, CCN 237495
  • Ascension Genesys Hospital Hospital, Grand Blanc, MI, CCN 230197
  • University of Michigan Health System Hospital, Ann Arbor, MI, CCN 230046

Merit-based Incentive Payment System (MIPS)

Final score
89.65 of 100Reported as group
Quality
94.14
Promoting interoperability
100
Improvement activities
40
Cost
71.35

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Interoperability endpoints

  • Direct secure messaging: adaros805610@direct.hfhs.org
  • Direct secure messaging: adaros1124510@direct.hfhs.org
  • Direct secure messaging: antony.daros.1@24554.direct.athenahealth.com

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": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1003800350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8275 HOLLY RD",
            "address_2": "STE 1",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392442",
            "telephone_number": "810-603-0990",
            "fax_number": "810-603-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8275 HOLLY RD",
            "address_2": "STE 1",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392442",
            "telephone_number": "810-603-0990",
            "fax_number": "810-603-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAROS",
        "first_name": "ANTONY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101013144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4613396",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.