Individual provider Active NPI

Daniel Mekasha, MD

  • Pain Medicine (Anesthesiology) Physician
  • Southgate, MI
National Provider Identifier
1003937798
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
4301080008 Issued in MI
Practice address
13383 Reeck CT
Southgate, MI 48195-3054
Phone
(734) 250-7277
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 4301080008 MI Primary
Pain Medicine Physician 208VP0000X 4301080008 MI

Addresses

Primary practice location

13383 Reeck CT
Southgate, MI 48195-3054

Mailing address

P.O Box 5570
Plymouth, MI 48170

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
I20071106000410 MI Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 9234226374 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Wayne State University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fadi Delly, MD PC 5 clinicians
Metropolitan Anesthesia Consultants PLLC 31 clinicians

Practice addresses (Care Compare)

15750 Northline Rd
Southgate, MI 48195-2378
Phone (734) 357-0505

2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone (734) 324-3697

Hospital & facility affiliations

  • Wyandotte Hospital and Medical Center Hospital, Wyandotte, MI, CCN 230146

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System CurrentSince Aug 17, 2019 Accepting new patients
Henry Ford Health System Current Accepting new patients
Fadi Delly, MD PC CurrentSince Jul 1, 2023 Accepting new patients
Henry Ford West Bloomfield Hospital CurrentSince Oct 14, 2019 Accepting new patients
Henry Ford Pathology Current Accepting new patients
Henry Ford Health System Pain Medicine CurrentSince Aug 17, 2019 Accepting new patients
Henry Ford West Bloomfield Hospital CurrentSince Oct 14, 2019 Accepting new patients
Metropolitan Anesthesia Consultants, PLLC CurrentSince Jan 1, 2011 Accepting new patients
Metropolitan Anesthesia Consultants, PLLC CurrentSince Jan 1, 2011 Accepting new patients
Associates in Womens Health PastSince Mar 19, 2005 Accepting new patients
Ambulatory Anesthesia Associates, PC Past Accepting new patients

Locations

1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280

23050 West Rd
Ste 220
Brownstown Twp, MI 48183
Phone (248) 569-2000

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

15750 Northline Rd
Southgate, MI 48195
Phone (248) 798-3130

13383 Reeck Ct
Southgate, MI 48195
Phone (734) 250-7277

6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000

2211 Fort St
Wyandotte, MI 48192
Phone (734) 246-5705

2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000

Interoperability endpoints

  • Direct secure messaging: dmekasha57955@direct.hfhs.org
  • FHIR API: https://fhir.hfhs.org/FHIRProxy/api/FHIR/R4/

Organizations & group practices 11

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 2

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": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1003937798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 5570",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "48170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13383 REECK CT",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481953054",
            "telephone_number": "734-250-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEKASHA",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MI",
            "license": "4301080008",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MI",
            "license": "4301080008",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southgate, MI

Sources for this page

Verify at the official NPI Registry.