NPIMap

Individual provider Active NPI

Morgan Daul

  • Family Medicine Physician
  • Grandville, MI
National Provider Identifier
1295148690
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101023489 Issued in MI
Practice address
3380 44TH St SW
Grandville, MI 49418
Phone
(616) 685-8250
Fax
(616) 532-3564
NPI assigned
Jun 4, 2014
Last updated
Dec 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 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 5101023489 MI Primary

Addresses

Primary practice location

3380 44TH St SW
Grandville, MI 49418

Mailing address

1900 44TH St SE
Kentwood, MI 49508-5008

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address morgan.daul@mercyhealth.com Direct

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
I20170720002506 MI Practitioner - Family Practice 3072730258 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3380 44TH St SW
Grandville, MI 49418-2461
Phone (616) 685-8250

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Health Saint Mary's Medical Group CurrentSince Jul 6, 2018 Accepting new patients
Edward W. Sparrow Hospital Association Family Medicine CurrentSince Jul 1, 2017 Accepting new patients
Edward W Sparrow Hospital Association Family Medicine CurrentSince Jul 1, 2017 Accepting new patients
Advantage Health/Saint Mary's Medical Group CurrentSince Jul 6, 2018 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Advantage Health Saint Mary's Medical Group Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

3380 44th St SW
Grandville, MI 49418
Phone (616) 685-8250

1200 E Michigan Ave
Ste 245A
Lansing, MI 48912
Phone (517) 364-5710

800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900

6050 Northland Dr NE
Ste 200
Rockford, MI 49341
Phone (616) 685-8350

Interoperability endpoints

  • Direct secure messaging: mdaul26215@direct.trinity-health.org
  • Direct secure messaging: morgan.daul@mercyhealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1295148690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 44TH ST SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495085008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 44TH ST SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "49418",
            "telephone_number": "616-685-8250",
            "fax_number": "616-532-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUL",
        "first_name": "MORGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101023489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "morgan.daul@mercyhealth.com",
            "affiliation": "N",
            "endpointDescription": "Mercy Health Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "3380 44th St SW",
            "city": "Grandville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "49418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grandville, MI

Sources for this page

Verify at the official NPI Registry.