Individual provider Active NPI

Daniel Augusten Carr, D.O.

  • Neurological Surgery Physician
  • Southfield, MI
National Provider Identifier
1114285707
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
OP60830303 Issued in WA
Practice address
22250 Providence Dr Ste 601
Southfield, MI 48075-6214
Phone
(248) 569-7745
NPI assigned
May 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X OP60830303 WA Primary

Addresses

Primary practice location

22250 Providence Dr Ste 601
Southfield, MI 48075-6214

Mailing address

22250 Providence Dr Ste 601
Southfield, MI 48075-6214
Phone (248) 569-7745

Other identifiers 1

IdentifierTypeStateIssuer
1114285707MedicaidMI

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
I20190515002827 MI Practitioner - Neurosurgery 5496045452 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Lincoln Memorial University Medical Department, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Health Macomb Oakland HospitalGroup PAC ID 7315859725, 155 clinicians
Henry Ford Semi Medical GroupGroup PAC ID 0648180406, shared by 4 NPIs, 246 clinicians
Dearborn Physical Therapy LTDGroup PAC ID 2668383910, shared by 2 NPIs, 97 clinicians
Henry Ford Health Providence HospitalGroup PAC ID 6103738703, 364 clinicians

Practice addresses (Care Compare)

11900 E 12 Mile Rd
308 Amg Cardiothoracic Surgical Associa
Warren, MI 48093-3491
Phone (248) 849-2600

17900 23 Mile Rd
Macomb, MI 48044-1161
Phone (313) 647-3900

23852 Michigan Ave
Dearborn, MI 48124-1829

26850 Providence Pkwy
Novi, MI 48374-1213
Phone (248) 465-4500

Hospital & facility affiliations

  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
  • St Joe Mercy Hospital System Livonia Hospital, Livonia, MI, CCN 230002
  • Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053
  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165

Merit-based Incentive Payment System (MIPS)

Final score
91.34 of 100Reported as group
Quality
82
Improvement activities
40
Cost
86.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion211
Laminectomy or laminotomy (partial removal of spine bones)53
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Jan 1, 2025 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Jan 1, 2025 Accepting new patients
Michigan Spine and Brain Surgeons, PLLC Neurological Surgery CurrentSince Jul 1, 2019 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Jan 1, 2025 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Jan 1, 2025 Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients

Locations

27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326

26850 Providence Pkwy
Novi, MI 48374
Phone (248) 380-3550

26850 Providence Pkwy
Ste 240
Novi, MI 48374
Phone (248) 440-2162

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

22250 Providence Dr
Ste 601
Southfield, MI 48075
Phone (248) 569-4885

11900 E 12 Mile Rd
Ste 205
Warren, MI 48093
Phone (586) 576-4907

11900 E 12 Mile Rd
Ste 308
Warren, MI 48093
Phone (586) 574-5080

Interoperability endpoints

  • Direct secure messaging: dcarr293253@direct.trinity-health.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/JBEFBA
  • Direct secure messaging: dcarr1120305@direct.hfhs.org
  • Direct secure messaging: daniel.carr@msbs.eclinicaldirectplus.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.

Hospital & facility affiliations 6

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": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1114285707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22250 PROVIDENCE DR STE 601",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480756214",
            "telephone_number": "248-569-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22250 PROVIDENCE DR STE 601",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480756214",
            "telephone_number": "248-569-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "DANIEL",
        "middle_name": "AUGUSTEN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-02",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WA",
            "license": "OP60830303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114285707",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.