Individual provider Active NPI

David Anthony Minter, D.O.

  • Emergency Medicine Physician
  • Pontiac, MI
National Provider Identifier
1053524017
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101016960 Issued in MI
Practice address
50 N Perry St
Pontiac, MI 48342-2217
Phone
(248) 338-5000
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5101016960 MI Primary
Internal Medicine Physician 207R00000X 5101016960 MI

Addresses

Primary practice location

50 N Perry St
Pontiac, MI 48342-2217

Mailing address

711 E 3Rd St
Royal Oak, MI 48067-2860
Phone (517) 410-1699

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
I20110706000182 MI Practitioner - Emergency MedicinePractitioner - Internal Medicine 8123206638 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
Michigan State University College of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Hospital GroupGroup PAC ID 2365968351, 366 clinicians
Fadi Salloum MD PCGroup PAC ID 2062503584, 28 clinicians

Practice addresses (Care Compare)

2110 S M
76 Suite 1
West Branch, MI 48661-8821
Phone (989) 516-5075

50 N Perry St
Pontiac, MI 48342-2217
Phone (248) 338-5645

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101016960MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fadi Salloum MD PC Internal Medicine CurrentSince Jul 1, 2011 Accepting new patients
McLaren Hospital Group Emergency Medicine CurrentSince Jul 24, 2025 Accepting new patients
Degara App, PLLC Emergency Medicine CurrentSince Mar 13, 2017 Accepting new patients
McLaren Oakland Past Accepting new patients
Telemed Consultants PLLC Internal Medicine Past Accepting new patients

Locations

5701 Bow Pointe Dr
Ste 300
Clarkston, MI 48346
Phone (248) 379-4246

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

3003 W Grand River Ave
Howell, MI 48843
Phone (517) 323-9133

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

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

2110 S M 76
Ste 1
West Branch, MI 48661
Phone (989) 516-5074

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 1

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1053524017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 E 3RD ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480672860",
            "telephone_number": "517-410-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N PERRY ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422217",
            "telephone_number": "248-338-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTER",
        "first_name": "DAVID",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101016960",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101016960",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

Verify at the official NPI Registry.