Active NPI
Daniel Mekasha, MD
- Pain Medicine (Anesthesiology) Physician
- Southgate, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 4301080008
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071106000410 | MI | Practitioner - Anesthesiology | 9234226374 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Wayne State University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fadi Delly, MD PCMetropolitan Anesthesia Consultants PLLC
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health System | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Fadi Delly, MD PC | Current | Accepting new patients | |
| Henry Ford West Bloomfield Hospital | Current | Accepting new patients | |
| Henry Ford Pathology | Current | Accepting new patients | |
| Henry Ford Health System | Pain Medicine | Current | Accepting new patients |
| Henry Ford West Bloomfield Hospital | Current | Accepting new patients | |
| Metropolitan Anesthesia Consultants, PLLC | Current | Accepting new patients | |
| Metropolitan Anesthesia Consultants, PLLC | Current | Accepting new patients | |
| Associates in Womens Health | Past | 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
- dmekasha57955@direct.hfhs.org
- 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.
-
- Podiatrist
- Detroit, MI
- NPI 1396824207
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
- Anatomic Pathology & Clinical Pathology Physician
- Detroit, MI
- NPI 1851410005
-
- Internal Medicine Physician
- West Bloomfield, MI
- NPI 1386920122
-
- Interventional Pain Medicine Physician
- Brownstown TWP, MI
- NPI 1629361191
-
- Anesthesiology Physician
- Monroe, MI
- NPI 1952350555
-
- Specialist
- Monroe, MI
- NPI 1689891970
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Wyandotte, MI
- NPI 1093901035
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.