NPIMap

Individual provider Active NPI

Michael I Dangovian, D.O.

  • Cardiovascular Disease Physician
  • Sterling HGTS, MI
National Provider Identifier
1134122245
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD008866 Issued in MI
Practice address
39242 Dequindre Rd
Suite103
Sterling HGTS, MI 48310
Phone
(586) 795-3600
Fax
(586) 795-5446
NPI assigned
May 23, 2005
Last updated
Jan 12, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD008866 MI Primary

Addresses

Primary practice location

39242 Dequindre Rd
Suite103
Sterling HGTS, MI 48310

Mailing address

39242 Dequindre Rd
Suite103
Sterling HGTS, MI 48310
Phone (586) 795-3600

Other identifiers 1

IdentifierTypeStateIssuer
3324361MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040308001155 MI Practitioner - Cardiovascular Disease (Cardiology) 9739074600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
K Heart and Vascular Institute PLLCGroup PAC ID 4789943887, 5 clinicians

Practice addresses (Care Compare)

33376 Dequindre Rd
Sterling Heights, MI 48310-5966
Phone (586) 722-7440

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD008866MIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
K Heart & Vascular Institute, PLLC Cardiovascular Disease CurrentSince Aug 1, 2022 Accepting new patients
NDS Radiology PLLC PastSince Feb 23, 2025 Accepting new patients

Locations

13350 24 Mile Rd
Ste 800
Shelby Township, MI 48315
Phone (586) 722-7440

33376 Dequindre Rd
Sterling Hts, MI 48310
Phone (248) 986-3252

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

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231718400000",
    "number": "1134122245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39242 DEQUINDRE RD",
            "address_2": "SUITE103",
            "city": "STERLING HGTS",
            "state": "MI",
            "postal_code": "48310",
            "telephone_number": "586-795-3600",
            "fax_number": "248-795-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39242 DEQUINDRE RD",
            "address_2": "SUITE103",
            "city": "STERLING HGTS",
            "state": "MI",
            "postal_code": "48310",
            "telephone_number": "586-795-3600",
            "fax_number": "586-795-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANGOVIAN",
        "first_name": "MICHAEL",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2009-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "MD008866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3324361",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling HGTS, MI

Sources for this page

Verify at the official NPI Registry.