David P Tracy, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

066578 Issued in MI

Practice address

1530 Pine Grove Ave
Ste 7
Port Huron, MI 48060

Phone

(810) 985-0029

Fax

(810) 985-0032

NPI assigned

Aug 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Diagnostic Radiology

Education

Boston University School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Great Lakes Radiology ServicesGroup PAC ID 7113456831, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lake Huron Medical Center Hospital, Port Huron, MI, CCN 230031
• Garden City Hospital Hospital, Garden City, MI, CCN 230244
• McLaren Port Huron Hospital, Port Huron, MI, CCN 230216

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Great Lakes Radiology Services

  • Diagnostic Radiology Physician
  • Plymouth, MI
  • NPI 1891529111
  Medicare reassignment Care Compare group NPD
• Marwan Shuayto MD PC

  dba Blue Water Open MRI

  • Neurology Physician
  • Port Huron, MI
  • NPI 1578819850

  Diagnostic Radiology

  Medicare reassignment NPD
• X-Ray Associates of Port Huron P C

  • Diagnostic Radiology Physician
  • Port Huron, MI
  • NPI 1801967583
  Medicare reassignment NPD
• Tri Hospital MRI Center

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Port Huron, MI
  • NPI 1013244045
  NPD (past)

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

• McLaren Port Huron

  • General Acute Care Hospital
  • Port Huron, MI
  • NPI 1982685384
  Care Compare affiliation
• Prime Healthcare Services - Garden City LLC

  dba Garden City Hospital

  • General Acute Care Hospital
  • Garden City, MI
  • NPI 1043625940
  Care Compare affiliation
• Prime Healthcare Services-Port Huron LLC

  • General Acute Care Hospital
  • Port Huron, MI
  • NPI 1306227764
  Care Compare affiliation

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033121892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 PINE GROVE AVE",
            "address_2": "STE 7",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "48060",
            "telephone_number": "810-985-0029",
            "fax_number": "810-985-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 PINE GROVE AVE",
            "address_2": "STE 7",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "48060",
            "telephone_number": "810-985-0029",
            "fax_number": "810-985-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "DAVID",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "066578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4094810",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Tople
• April Lynn Torz, LMSW
• Touching Hands LLC
• Touchstone Services Inc
• David T Touchton, DPM
• Holly Mae Tremble, RN
• Makhia Lee Tremble
• Kari Kathleen Trempler, LLPC
• Donovan Duane Trevino
• Tri Hospital Emergency Medical Services Corporation

• Diagnostic Radiology Physician in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Diagnostic Radiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.