Individual provider Active NPI

David Michael Smeenge

  • Family Medicine Physician
  • Livonia, MI
National Provider Identifier
1225415169
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301114052 Issued in MI
Practice address
37595 7 Mile Rd Ste 230
Livonia, MI 48152
Phone
(734) 853-5694
NPI assigned
Apr 29, 2015
Last updated
Jun 5, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Family Medicine Physician 207Q00000X 4301114052 MI Primary

Addresses

Primary practice location

37595 7 Mile Rd Ste 230
Livonia, MI 48152

Mailing address

37595 7 Mile Rd Ste 230
Livonia, MI 48152-1003
Phone (734) 853-5694

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
I20180627001116 MI Practitioner - Family Practice 7416251822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iha Olma Primary Non Risk LLCGroup PAC ID 1759792799, 16 clinicians

Practice addresses (Care Compare)

37595 7 Mile Rd
Suite 210
Livonia, MI 48152-1489
Phone (734) 853-5694

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301114052MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Olma Primary Non Risk LLC Multi-Specialty CurrentSince Dec 1, 2020 Accepting new patients
Iha Olma Primary Non Risk LLC Multi-Specialty CurrentSince Dec 1, 2020 Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

20206 Farmington Rd
Livonia, MI 48152
Phone (248) 471-6585

20206 Farmington Rd
#M
Livonia, MI 48152
Phone (248) 476-4724

37595 7 Mile Rd
Ste 210
Livonia, MI 48152
Phone (734) 432-7282

Interoperability endpoints

  • Direct secure messaging: dsmeenge26030@direct.trinity-health.org
  • Direct secure messaging: dsmeenge290752@direct.hfhs.org

Organizations & group practices 2

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 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": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1225415169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37595 7 MILE RD STE 230",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521003",
            "telephone_number": "734-853-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37595 7 MILE RD STE 230",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48152",
            "telephone_number": "734-853-5694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMEENGE",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-29",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301114052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.