Individual provider Active NPI

David Isaac Margolis, MD

  • Internal Medicine Physician
  • Canton, MI
National Provider Identifier
1053383653
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301063642 Issued in MI
Practice address
2050 N Haggerty Rd
Suite 100
Canton, MI 48187-3795
Phone
(734) 981-1086
Fax
(734) 981-5094
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301063642 MI Primary

Addresses

Primary practice location

2050 N Haggerty Rd
Suite 100
Canton, MI 48187-3795

Mailing address

2050 N Haggerty Rd
Suite 100
Canton, MI 48187-3795
Phone (734) 981-1086

Other identifiers 2

IdentifierTypeStateIssuer
110227239OtherRAILROAD MEDICARE
104365378MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051229000333 MI Practitioner - Internal Medicine 8022044619 Reassigns benefits to 1 organization
I20200107000032 NY Practitioner - Internal Medicine 8022044619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Michigan Geriatric Associates, PLLCGroup PAC ID 8921387473, 3 clinicians

Practice addresses (Care Compare)

1840 Wealthy St SE
Grand Rapids, MI 49506-2921
Phone (248) 756-3447

2050 N Haggerty Rd
Suite 260
Canton, MI 48187-3796
Phone (248) 756-3447

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301063642MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation CurrentSince Oct 6, 2019 Accepting new patients
New York City Health and Hospitals Corporation Internal Medicine Current Accepting new patients
Wonder Wound Care Current Accepting new patients
New York City Health and Hospitals Corporation Internal Medicine CurrentSince Oct 6, 2019 Accepting new patients
Robyn L. Dragoo, OD PC PastSince Sep 2, 2017 Accepting new patients

Locations

594 Albany Ave
Brooklyn, NY 11203
Phone (646) 694-6680

1752 Park Ave
New York, NY 10035
Phone (646) 686-0000

50 Water St
Fl 3
New York, NY 10004

Interoperability endpoints

  • Direct secure messaging: dmargolis1175427@nychhc.direct-ci.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300060800000",
    "number": "1053383653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 N HAGGERTY RD",
            "address_2": "SUITE 100",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873795",
            "telephone_number": "734-981-1086",
            "fax_number": "734-981-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 N HAGGERTY RD",
            "address_2": "SUITE 100",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873795",
            "telephone_number": "734-981-1086",
            "fax_number": "734-981-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGOLIS",
        "first_name": "DAVID",
        "middle_name": "ISAAC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2011-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301063642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110227239",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104365378",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

Verify at the official NPI Registry.