Active NPI
Danelle Renae Stabel, D.O.
- Pediatrics Physician
- Troy, MI
National Provider Identifier
1104167808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 5101020394
- Practice address
- 2825 Livernois Rd
Troy, MI 48083-1214 - Phone
- (248) 680-6000
- NPI assigned
- Mar 6, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 5101020394 | MI | Primary |
Addresses
Primary practice location
2825 Livernois Rd
Troy, MI 48083-1214
Mailing address
2825 Livernois Rd
Troy, MI 48083-1214
Other names 1
- Danelle Renae Graves
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101020394 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hurley Medical Center | Current | Accepting new patients | |
| Pathology Associates Inc PC | Current | Accepting new patients | |
| Hurley Medical Center | Current | Accepting new patients | |
| Hurley Medical Center | Pediatrics | Current | Accepting new patients |
Locations
5710 Clio Rd
Flint, MI 48504
Phone (810) 785-4445
300 E 1st St
#201
Flint, MI 48502
Phone (810) 262-9773
1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000
Interoperability endpoints
- dgraves2@direct.dmc.org
Organizations & group practices 4
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.
-
- Obstetrics & Gynecology Physician
- Flint, MI
- NPI 1982630844
-
- Plastic and Reconstructive Surgery Physician
- Flint, MI
- NPI 1689345761
-
- Pediatrics Physician
- Flint, MI
- NPI 1821024910
-
- Anatomic Pathology & Clinical Pathology Physician
- Flint, MI
- NPI 1922116094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483660800000",
"number": "1104167808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2825 LIVERNOIS RD",
"city": "TROY",
"state": "MI",
"postal_code": "480831214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 LIVERNOIS RD",
"city": "TROY",
"state": "MI",
"postal_code": "480831214",
"telephone_number": "248-680-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STABEL",
"first_name": "DANELLE",
"middle_name": "RENAE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-06",
"last_updated": "2017-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "5101020394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANELLE",
"last_name": "GRAVES",
"middle_name": "RENAE",
"credential": "D.O.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.