Individual provider Active NPI

David J Fertel, D O

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Westland, MI
National Provider Identifier
1043315260
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
5101009690 Issued in MI
Practice address
6149 N Wayne Rd
Westland, MI 48185-7128
Phone
(734) 728-2130
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X DF009690 MI
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 5101009690 MI Primary

Addresses

Primary practice location

6149 N Wayne Rd
Westland, MI 48185-7128

Mailing address

3660 Loch Bend Dr
Commerce TWP, MI 48382-4330
Phone (248) 932-2607

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
I20040401000076 MI Practitioner - Vascular SurgeryPractitioner - General SurgeryPractitioner - Thoracic Surgery 6406848258 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery, Thoracic Surgery
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acute Care Surgery Medical Group IncGroup PAC ID 7214006816, 205 clinicians

Practice addresses (Care Compare)

28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (947) 521-8000

35700 Warren Rd
Westland, MI 48185-3808
Phone (734) 728-2130

50 N Perry St
Pontiac, MI 48342-2217
Phone (248) 338-5000

6149 Wayne Rd
Westland, MI 48185-7128
Phone (734) 728-2130

Hospital & facility affiliations

  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151
  • McLaren Oakland Hospital, Pontiac, MI, CCN 230207

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy14
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux18
Melanoma (skin cancer) excision1-10
Leg revascularization (restoring blood flow)1-10
Removal of tissue38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DF009690MIMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acute Care Surgery Medical Group, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Michigan Healthcare Professionals PC Current Accepting new patients
D Fertel DO PC CurrentSince Feb 1, 2002 Accepting new patients
Novi Anesthesia Services PLC PastSince Jun 20, 2007 Accepting new patients
Botsford General Hospital Past Accepting new patients

Locations

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

50 N Perry St
#2
Pontiac, MI 48342
Phone (248) 338-5865

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

6149 N Wayne Rd
Westland, MI 48185
Phone (734) 728-1320

Interoperability endpoints

  • Direct secure messaging: dfertel1233384@epic00.shdirect.org

Organizations & group practices 5

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 9

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1043315260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 LOCH BEND DR",
            "city": "COMMERCE TWP",
            "state": "MI",
            "postal_code": "483824330",
            "telephone_number": "248-932-2607",
            "fax_number": "248-932-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6149 N WAYNE RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481857128",
            "telephone_number": "734-728-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERTEL",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "D O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MI",
            "license": "DF009690",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MI",
            "license": "5101009690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

Verify at the official NPI Registry.