Individual provider Active NPI

David Michael Baulesh, DO

  • Emergency Medicine Physician
  • Farmington Hills, MI
National Provider Identifier
1063899078
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34.013886 Issued in OH
Practice address
28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone
(248) 471-8000
NPI assigned
Apr 28, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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 5101021527 MI
Emergency Medicine Physician 207P00000X 34.013886 OH Primary

Addresses

Primary practice location

28050 Grand River Ave
Farmington Hills, MI 48336-5919

Mailing address

28050 Grand River Ave
Farmington Hills, MI 48336-5919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, MD, VI, TX, CO, KS6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20191119002484 WV Practitioner - Emergency Medicine 9830485481 Reassigns benefits to 3 organizations
I20201026002041 MD Practitioner - Emergency Medicine 9830485481 Reassigns benefits to 1 organization
I20210526000480 VI Practitioner - Emergency Medicine 9830485481 Reassigns benefits to 1 organization
I20210813002568 TX Practitioner - Emergency Medicine 9830485481 Reassigns benefits to 1 organization
I20211013002335 CO Practitioner - Emergency Medicine 9830485481 Reassigns benefits to 1 organization
I20221220002304 KS Practitioner - Emergency Medicine 9830485481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Rocky Vista University College of Osteopathic Med, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carepoint Emergency Medicine, PLLCGroup PAC ID 7810291432, 160 clinicians

Practice addresses (Care Compare)

14200 E Arapahoe Rd
Centennial Medical Plaza
Englewood, CO 80112-4065
Phone (303) 699-3060

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101021527MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greenbrier Emergency Services, Inc. Emergency Medicine CurrentSince Aug 1, 2020 Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine CurrentSince Oct 20, 2020 Accepting new patients
JMH Emergency Physicians Emergency Medicine CurrentSince Nov 1, 2020 Accepting new patients
Carepoint Emergency Medicine, PLLC Emergency Medicine CurrentSince Oct 1, 2021 Accepting new patients
Lawton Indian Hospital CurrentSince Jul 9, 2021 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Oct 20, 2020 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Jun 7, 2021 Accepting new patients
Allied West Virginia Emergency Physicians PLLC Emergency Medicine CurrentSince Sep 30, 2019 Accepting new patients
Carepoint Emergency Medicine Kansas LLC Emergency Medicine CurrentSince Sep 8, 2022 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Jun 7, 2021 Accepting new patients
Carepoint Hospital Medicine, PLLC Past Accepting new patients
Mercy Health Youngstown LLC PastSince Mar 8, 2020 Accepting new patients
Carepoint Inpatient Blue Sky Neurology PLLC Past Accepting new patients

Locations

1501 S Potomac St
Denver, CO 80012
Phone (303) 695-2604

501 E Hampden Ave
Ste 360
Englewood, CO 80113

14200 E Arapahoe Rd
Englewood, CO 80112
Phone (303) 699-3000

221 W US Highway 54
Andover, KS 67002
Phone (316) 962-5100

2648 N Rock Rd
Derby, KS 67037
Phone (316) 962-2000

8714 W 13th St N
Wichita, KS 67212
Phone (316) 962-9900

550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239

2610 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 684-3838

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

300 S Preston St
Ranson, WV 25438
Phone (304) 728-1600

601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156

Interoperability endpoints

  • Direct secure messaging: dbaulesh643537@direct.bsmhealth.org
  • Direct secure messaging: dbaulesh640264@direct.multicare.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

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": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1063899078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28050 GRAND RIVER AVE",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28050 GRAND RIVER AVE",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365919",
            "telephone_number": "248-471-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAULESH",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-28",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101021527",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.013886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.