Daniel E Knobloch, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301085470 Issued in MI

Practice address

605 W Chicago Rd Ste 2
Coldwater, MI 49036-8400

Phone

(517) 924-1444

Fax

(517) 924-1445

NPI assigned

Jan 31, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2023 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EIBIBD

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.

• Advanced Veins and Vascular Management PLC

  • Vascular Surgery Physician
  • Hillsdale, MI
  • NPI 1972158566
  NPD (past)
• Emcare Physician Providers, Inc.

  • Emergency Medicine Physician
  • Lafayette, TN
  • NPI 1902858137
  NPD (past)
• Nes Tennessee, Inc.

  • Emergency Medicine Physician
  • Shelbyville, TN
  • NPI 1427039858
  NPD (past)
• Sycamore Emergency Physicians LLC

  • Emergency Medicine Physician
  • Lafayette, TN
  • NPI 1346264975
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1144367129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4593 N CAMROSE CT SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495194977",
            "telephone_number": "616-261-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W CHICAGO RD STE 2",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490368400",
            "telephone_number": "517-924-1444",
            "fax_number": "517-924-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOBLOCH",
        "first_name": "DANIEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301085470",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301085470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144367129",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "P51800023",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teryca Jolese Kimble
• Joellen Fay King, RPH
• Klein Medical PC (Community Occupational Medicine)
• Cara Christine Klein, DNP
• Karen N Klein, MD
• Koepfler Family Chiropractic PLLC
• Tammy Jean Koepfler, D.C.
• Jonathan Allen Koyl, DDS
• Cheryl Krantz
• Zdenko Krizan, MD

• Family Medicine Physician in Coldwater, MI
• Providers in Coldwater, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.