Individual provider Active NPI

Daniel D Sherbert, MD

  • Plastic Surgery Physician
  • West Bloomfield, MI
National Provider Identifier
1124091434
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
4301051281 Issued in MI
Practice address
5807 W Maple Rd
Ste 177
West Bloomfield, MI 48322
Phone
(248) 865-6400
Fax
(248) 865-6404
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 4301051281 MI Primary

Addresses

Primary practice location

5807 W Maple Rd
Ste 177
West Bloomfield, MI 48322

Mailing address

5807 W Maple Rd
Ste 177
West Bloomfield, MI 48322
Phone (248) 865-6400

Other identifiers 1

IdentifierTypeStateIssuer
346090810MedicaidMI

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
I20070503000537 MI Practitioner - Plastic and Reconstructive Surgery 5991801144 Practice locations: West Bloomfield, MI

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5807 W Maple Rd
West Bloomfield, MI 48322-4483
Phone (248) 865-6400

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301051281MIMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Maple Plastic Surgery PLLC Plastic Surgery PastSince Jul 28, 2025 Accepting new patients
Beaumont West Bloomfield ASC LLC PastSince Aug 20, 2008 Accepting new patients
Daniel D Sherbert MD Plastic Surgery PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 3

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 3

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1124091434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5807 W MAPLE RD",
            "address_2": "STE 177",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "48322",
            "telephone_number": "248-865-6400",
            "fax_number": "248-865-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5807 W MAPLE RD",
            "address_2": "STE 177",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "48322",
            "telephone_number": "248-865-6400",
            "fax_number": "248-865-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERBERT",
        "first_name": "DANIEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "4301051281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "346090810",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.