Active NPI
Daniel Meressa Kokebu, M.D.
- Internal Medicine Physician
- Detroit, MI
National Provider Identifier
1235821505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101288085
- Practice address
- 4201 Saint Antoine St, Suite 6a
Detroit, MI 48201 - Phone
- (313) 745-7888
- NPI assigned
- May 24, 2023
- Last updated
- Sep 30, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101288085 | VA | Primary |
Addresses
Primary practice location
4201 Saint Antoine St, Suite 6a
Detroit, MI 48201
Mailing address
220 Campus Blvd Ste 320
Winchester, VA 22601-2889
Phone (540) 536-5100
Other practice location 1
200 Memorial Dr
Luray, VA 22835-1000
Phone (540) 743-4561
Other practice location 2
759 S Main St
Woodstock, VA 22664-1154
Phone (540) 459-1100
Other practice location 3
3774 Valley Rd
Berkeley Springs, WV 25411-4614
Phone (304) 258-9433
Other practice location 4
329 Sunrise Blvd
Romney, WV 26757-4607
Phone (304) 822-4932
Other practice location 5
1 Healthy Way
Berkeley Springs, WV 25411-7463
Phone (304) 258-1234
Other practice location 6
135 Memorial Dr
Luray, VA 22835-1016
Phone (540) 743-2887
Other practice location 7
363 Sunrise Blvd
Romney, WV 26757-4607
Phone (304) 822-4561
Other practice location 8
759 S Main St
Woodstock, VA 22664-1154
Phone (540) 459-1383
Electronic endpoints 7
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Dkokebu1512828@ValleyHealth.direct-ci.com | ||
| Direct Messaging Address | Dkokebu1512828@ValleyHealth.direct-ci.com | ||
| Direct Messaging Address | Dkokebu1512828@ValleyHealth.direct-ci.com | ||
| Direct Messaging Address | Dkokebu1512828@ValleyHealth.direct-ci.com | ||
| Direct Messaging Address | Dkokebu1512828@ValleyHealth.direct-ci.com | ||
| Direct Messaging Address | Dkokebu1512828@ValleyHealth.direct-ci.com | ||
| Direct Messaging Address | Dkokebu1512828@ValleyHealth.direct-ci.com |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230725003290 | MI | Order and Referring Only - Internal Medicine | 0042671984 |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4100 International PLZ
Fort Worth, TX 76109-4800
4100 International PLZ
Suite 800
Fort Worth, TX 76109-4839
PO Box
Suite 740635
Los Angeles, CA 90074
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- daniel.kokebu.1@19711.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790726400000",
"number": "1235821505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 CAMPUS BLVD STE 320",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226012889",
"telephone_number": "540-536-5100",
"fax_number": "540-536-0235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 SAINT ANTOINE ST, SUITE 6A",
"city": "DETROIT",
"state": "MI",
"postal_code": "48201",
"telephone_number": "313-745-7888"
}
],
"practiceLocations": [
{
"address_1": "200 Memorial Dr",
"address_purpose": "LOCATION",
"city": "Luray",
"state": "VA",
"postal_code": "228351000",
"country_code": "US",
"telephone_number": "540-743-4561",
"fax_number": "540-743-9560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "759 S Main St",
"address_purpose": "LOCATION",
"city": "Woodstock",
"state": "VA",
"postal_code": "226641154",
"country_code": "US",
"telephone_number": "540-459-1100",
"fax_number": "540-459-1121",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3774 Valley Rd",
"address_purpose": "LOCATION",
"city": "Berkeley Springs",
"state": "WV",
"postal_code": "254114614",
"country_code": "US",
"telephone_number": "304-258-9433",
"fax_number": "304-258-6063",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "329 Sunrise Blvd",
"address_purpose": "LOCATION",
"city": "Romney",
"state": "WV",
"postal_code": "267574607",
"country_code": "US",
"telephone_number": "304-822-4932",
"fax_number": "304-822-4957",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Healthy Way",
"address_purpose": "LOCATION",
"city": "Berkeley Springs",
"state": "WV",
"postal_code": "254117463",
"country_code": "US",
"telephone_number": "304-258-1234",
"fax_number": "304-258-7422",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "135 Memorial Dr",
"address_purpose": "LOCATION",
"city": "Luray",
"state": "VA",
"postal_code": "228351016",
"country_code": "US",
"telephone_number": "540-743-2887",
"fax_number": "540-743-1288",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "363 Sunrise Blvd",
"address_purpose": "LOCATION",
"city": "Romney",
"state": "WV",
"postal_code": "267574607",
"country_code": "US",
"telephone_number": "304-822-4561",
"fax_number": "304-822-4957",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "759 S Main St",
"address_purpose": "LOCATION",
"city": "Woodstock",
"state": "VA",
"postal_code": "226641154",
"country_code": "US",
"telephone_number": "540-459-1383",
"fax_number": "540-459-1382",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOKEBU",
"first_name": "DANIEL",
"middle_name": "MERESSA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-24",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101288085",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Dkokebu1512828@ValleyHealth.direct-ci.com",
"affiliation": "N",
"address_1": "200 Memorial Dr",
"city": "Luray",
"state": "VA",
"country_code": "US",
"postal_code": "228351000",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Dkokebu1512828@ValleyHealth.direct-ci.com",
"affiliation": "N",
"address_1": "759 S Main St",
"city": "Woodstock",
"state": "VA",
"country_code": "US",
"postal_code": "226641154",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Dkokebu1512828@ValleyHealth.direct-ci.com",
"affiliation": "N",
"address_1": "329 Sunrise Blvd",
"city": "Romney",
"state": "WV",
"country_code": "US",
"postal_code": "267574607",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Dkokebu1512828@ValleyHealth.direct-ci.com",
"affiliation": "N",
"address_1": "1 Healthy Way",
"city": "Berkeley Springs",
"state": "WV",
"country_code": "US",
"postal_code": "254117463",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Dkokebu1512828@ValleyHealth.direct-ci.com",
"affiliation": "N",
"address_1": "3774 Valley Rd",
"city": "Berkeley Springs",
"state": "WV",
"country_code": "US",
"postal_code": "254114614",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Dkokebu1512828@ValleyHealth.direct-ci.com",
"affiliation": "N",
"address_1": "363 Sunrise Blvd",
"city": "Romney",
"state": "WV",
"country_code": "US",
"postal_code": "267574607",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Dkokebu1512828@ValleyHealth.direct-ci.com",
"affiliation": "N",
"address_1": "135 Memorial Dr",
"city": "Luray",
"state": "VA",
"country_code": "US",
"postal_code": "228351016",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.