Individual provider Active NPI

Donna Judith Tal, MD

  • Ophthalmology Physician
  • Ypsilanti, MI
National Provider Identifier
1154375509
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301067712 Issued in MI
Practice address
5333 McAuley Dr RM 4011
Ypsilanti, MI 48197-1099
Phone
(734) 434-7400
Fax
(734) 434-7323
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301067712 MI Primary

Addresses

Primary practice location

5333 McAuley Dr RM 4011
Ypsilanti, MI 48197-1099

Mailing address

5333 McAuley Dr RM 4011
Ypsilanti, MI 48197-1099
Phone (734) 434-7400

Other identifiers 3

IdentifierTypeStateIssuer
1808130762OtherMIBLUE CROSS
128239OtherMICARE CHOICE
4455822-10MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address donna.tal.1@9001.direct.athenahealth.com Direct

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
I20120511000403 MI Practitioner - Ophthalmology 7911160833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5333 McAuley Dr
RM 4011
Ypsilanti, MI 48197-1099
Phone (734) 434-7400

Hospital & facility affiliations

  • Trinity Health Ann Arbor Hospital Hospital, Ann Arbor, MI, CCN 230156

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301067712MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Donna J Tal MD PC Ophthalmology CurrentSince May 15, 2012 Accepting new patients

Locations

5333 McAuley Dr
Rm 4011
Ypsilanti, MI 48197
Phone (734) 434-7400

5333 McAuley Dr
Rm 6015
Ypsilanti, MI 48197
Phone (734) 434-7400

Interoperability endpoints

  • Direct secure messaging: donna.tal.1@9001.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/9001/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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 1

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1154375509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 MCAULEY DR RM 4011",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971099",
            "telephone_number": "734-434-7400",
            "fax_number": "734-434-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 MCAULEY DR RM 4011",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971099",
            "telephone_number": "734-434-7400",
            "fax_number": "734-434-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAL",
        "first_name": "DONNA",
        "middle_name": "JUDITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301067712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1808130762",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICE",
            "identifier": "128239",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4455822-10",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "donna.tal.1@9001.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5333 McAuley Dr Rm 4011",
            "city": "Ypsilanti",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481971099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.