Individual provider Active NPI

Christina Childress Daoud, DO

  • Family Medicine Physician
  • Coldwater, MI
National Provider Identifier
1235123175
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101012553 Issued in MI
Practice address
356 E Chicago St
Suite a
Coldwater, MI 49036-2057
Phone
(517) 278-8241
Fax
(517) 279-0049
NPI assigned
Sep 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101012553 MI Primary

Addresses

Primary practice location

356 E Chicago St
Suite a
Coldwater, MI 49036-2057

Mailing address

356 E Chicago St
Suite a
Coldwater, MI 49036-2057
Phone (517) 278-8241

Other identifiers 2

IdentifierTypeStateIssuer
3353926-11MedicaidMI
114528160MedicaidMI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address chriscddo@daoudsurgeryandfamilymedicinepc.amazing-direct.com Health Information Exchange (HIE)
Direct Messaging Address chriscddo@daoudsurgeryandfamilymedicinepc.amazing-direct.com Health Information Exchange (HIE)

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
I20080701000360 MI Practitioner - Family Practice 4183796451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daoud Surgery and Family Medicine PCGroup PAC ID 0648342907, 2 clinicians

Practice addresses (Care Compare)

356 E Chicago St
Suite a
Coldwater, MI 49036-2060
Phone (517) 278-3675

Hospital & facility affiliations

  • Elara Caring Home health agency, Jackson, MI, CCN 237274
  • Insight Hospital and Medical Center Coldwater Hospital, Coldwater, MI, CCN 230022
  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068
  • Cameron Health Hospital, Angola, IN, CCN 151315

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Daoud Surgery & Family Medicine PC Family Medicine CurrentSince Jun 1, 2008 Accepting new patients

Locations

356 E Chicago St
Coldwater, MI 49036
Phone (517) 278-3675

356 E Chicago St
Ste A
Coldwater, MI 49036
Phone (517) 278-3675

Interoperability endpoints

  • Direct secure messaging: chriscddo@daoudsurgeryandfamilymedicinepc.amazing-direct.com

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 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": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1235123175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 E CHICAGO ST",
            "address_2": "SUITE A",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362057",
            "telephone_number": "517-278-8241",
            "fax_number": "517-279-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 E CHICAGO ST",
            "address_2": "SUITE A",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362057",
            "telephone_number": "517-278-8241",
            "fax_number": "517-279-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAOUD",
        "first_name": "CHRISTINA",
        "middle_name": "CHILDRESS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101012553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3353926-11",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114528160",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chriscddo@daoudsurgeryandfamilymedicinepc.amazing-direct.com",
            "affiliation": "N",
            "endpointDescription": "Updox inbox - portal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "356 E Chicago St",
            "address_2": "SUITE A",
            "city": "Coldwater",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490362057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chriscddo@daoudsurgeryandfamilymedicinepc.amazing-direct.com",
            "affiliation": "N",
            "endpointDescription": "Updox messenger-portal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "356 E Chicago St",
            "address_2": "SUITE A",
            "city": "Coldwater",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490362057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coldwater, MI

Sources for this page

Verify at the official NPI Registry.