Individual provider Active NPI

David Harvey Payne, MD

  • Pulmonary Disease Physician
  • Cadillac, MI
National Provider Identifier
1063588168
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4301035126 Issued in MI
Practice address
8082 E M 115
Cadillac, MI 49601-8122
Phone
(231) 876-7880
Fax
(231) 876-7160
NPI assigned
Nov 28, 2006
Last updated
Mar 2, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 4301035126 MI Primary

Addresses

Primary practice location

8082 E M 115
Cadillac, MI 49601-8122

Mailing address

828 Oak Street
Cadillac, MI 49601-2373
Phone (231) 876-7880

Other identifiers 1

IdentifierTypeStateIssuer
2675228MedicaidMI

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
I20040415000259 MI Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 5698760171 Reassigns benefits to 1 organization
Practice locations: Cadillac, MI

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Cadillac Current Accepting new patients
Munson Healthcare Cadillac CurrentSince Feb 1, 2015 Accepting new patients
Munson Healthcare Cadillac CurrentSince Feb 1, 2015 Accepting new patients
Arthur R Jeynes DPM PC Past Accepting new patients
Home Sleep Solutions, L.L.C. PastSince Dec 1, 2019 Accepting new patients

Locations

3782 Momentum Pl
Chicago, IL 60689

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

1110 Sixth St
Traverse City, MI 49684
Phone (231) 392-8400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1063588168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 OAK STREET",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012373",
            "telephone_number": "231-876-7880",
            "fax_number": "231-876-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8082 E M 115",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018122",
            "telephone_number": "231-876-7880",
            "fax_number": "231-876-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "DAVID",
        "middle_name": "HARVEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301035126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2675228",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

Verify at the official NPI Registry.