Individual provider Active NPI

David A Scapini, MD

  • Otolaryngology Physician
  • Sterling Heights, MI
National Provider Identifier
1255322129
Registry record updated Sep 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
4301407197 Issued in MI
Practice address
11080 Hall Rd
Ste a
Sterling Heights, MI 48314-1511
Phone
(586) 254-7200
Fax
(586) 254-7201
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 4301407197 MI Primary

Addresses

Primary practice location

11080 Hall Rd
Ste a
Sterling Heights, MI 48314-1511

Mailing address

11080 Hall Rd
Ste a
Sterling Heights, MI 48314-1511
Phone (586) 254-7200

Other identifiers 3

IdentifierTypeStateIssuer
040E061920OtherMIBLUE SHIELD MICHIGAN
103044902MedicaidMI
3044902MedicaidMI

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
I20080331000199 MI Practitioner - Otolaryngology 3779562020 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Wayne State University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeshore Ear Nose and Throat Center PCGroup PAC ID 7315928934, 10 clinicians

Practice addresses (Care Compare)

17900 23 Mile Rd
Macomb, MI 48044-1161
Phone (586) 286-6565

Hospital & facility affiliations

  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254

Merit-based Incentive Payment System (MIPS)

Final score
74.92 of 100Reported as individual
Quality
62.58
Promoting interoperability
85
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301407197MIMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital Otolaryngology CurrentSince Feb 1, 2012 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Lakeshore Ear Nose and Throat Center PC Otolaryngology CurrentSince Nov 26, 2018 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Feb 1, 2012 Accepting new patients
Lakeshore Ear Nose and Throat Center PC Otolaryngology Current Accepting new patients
ENT Physicians,P.C Otolaryngology PastSince Jul 19, 2004 Accepting new patients

Locations

43750 Garfield Rd
Ste 101
Clinton Twp, MI 48038
Phone (586) 263-7400

17770 Mack Ave
Grosse Pointe Shores, MI 48230
Phone (313) 882-1731

17900 23 Mile Rd
Ste 203
Macomb, MI 48044
Phone (586) 263-7400

17900 23 Mile Rd
Ste 205
Macomb, MI 48044
Phone (313) 885-6367

543 N Main St
Ste 122
Rochester, MI 48307
Phone (248) 601-5055

1202 Walton Blvd
Ste 201
Rochester Hills, MI 48307
Phone (248) 652-0044

21000 E 12 Mile Rd
Ste 111
St Clr Shores, MI 48081
Phone (586) 779-7610

11080 Hall Rd
Ste A
Sterling Hts, MI 48314
Phone (586) 254-0033

Interoperability endpoints

  • Direct secure messaging: dscapini1150366@direct.hfhs.org
  • Direct secure messaging: david.scapini.1@17789.direct.athenahealth.com

Organizations & group practices 6

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 4

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253318400000",
    "number": "1255322129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11080 HALL RD",
            "address_2": "STE A",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141511",
            "telephone_number": "586-254-7200",
            "fax_number": "586-254-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11080 HALL RD",
            "address_2": "STE A",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141511",
            "telephone_number": "586-254-7200",
            "fax_number": "586-254-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCAPINI",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2009-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301407197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD MICHIGAN",
            "identifier": "040E061920",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103044902",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3044902",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.