NPIMap

Individual provider Active NPI

David H Benaderet, MD

  • Cardiovascular Disease Physician
  • Sterling Heights, MI
National Provider Identifier
1194895433
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301043632 Issued in MI
Practice address
44850 Mound Rd
Sterling Heights, MI 48314-1326
Phone
(586) 731-7000
NPI assigned
Nov 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4301043632 MI Primary

Addresses

Primary practice location

44850 Mound Rd
Sterling Heights, MI 48314-1326

Mailing address

44850 Mound Rd
Sterling Heights, MI 48314-1326
Phone (586) 731-7000

Other identifiers 1

IdentifierTypeStateIssuer
1757409MedicaidMI

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
I20081014000764 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7012075302 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Michigan Medical School, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Cardiovascular Associates, PLCGroup PAC ID 8921146291, 7 clinicians

Practice addresses (Care Compare)

15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone (586) 263-2300

44850 Mound Rd
Sterling HTS, MI 48314-1326
Phone (586) 731-7000

49050 Schoenherr Rd
Suite 100
Shelby Township, MI 48315-3848
Phone (586) 566-7870

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301043632MIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Hospital Corporation CurrentSince Dec 1, 2015 Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Dec 1, 2015 Accepting new patients
Advanced Cardiovascular Associates, PLC Cardiovascular Disease CurrentSince Apr 15, 2015 Accepting new patients
Eds Associates Cardiovascular Disease Past Accepting new patients

Locations

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

215 North Ave
Mount Clemens, MI 48043
Phone (586) 307-9010

49050 Schoenherr Rd
Shelby Township, MI 48315
Phone (586) 566-7870

49050 Schoenherr Rd
Ste 100
Shelby Township, MI 48315
Phone (586) 532-8700

44850 Mound Rd
Sterling Hts, MI 48314
Phone (586) 731-7000

Interoperability endpoints

  • Direct secure messaging: fdavidhbenaderet63441@direct.hfhs.org

Organizations & group practices 4

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 5

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194895433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44850 MOUND RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141326",
            "telephone_number": "586-731-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44850 MOUND RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141326",
            "telephone_number": "586-731-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENADERET",
        "first_name": "DAVID",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301043632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1757409",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.