Morgan Daul
Individual provider Active NPI Family Medicine Physician · Grandville, MI
NPI 1295148690 · NPPES record last updated Dec 30, 2021
Key facts
- NPI
- 1295148690
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 5101023489 (MI)
- Practice address
- 3380 44TH St SW
Grandville, MI 49418 - Phone
- (616) 685-8250
- Fax
- (616) 532-3564
- NPI assigned
- Jun 4, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- 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
- Advantage Health/Saint Mary'S Medical Group
Practice addresses (Care Compare)
3380 44TH St SW
Grandville, MI 49418-2461
Phone (616) 685-8250
Hospital & facility affiliations
- Mary Free Bed at Home, LLC
- Mercy Health Saint Mary'S
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170720002506 | MI | Practitioner - Family Practice | 3072730258 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101023489 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward W. Sparrow Hospital Association | Family Medicine | Current |
Accepting new patients |
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Edward W Sparrow Hospital Association | Family Medicine | Current |
Accepting new patients |
| Advantage Health/Saint Mary'S Medical Group | Current |
Accepting new patients | |
| Advantage Health Saint Mary'S Medical Group | 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
- mdaul26215@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101023489 | MI | Yes |
Addresses
Primary practice location
3380 44TH St SW
Grandville, MI 49418
Mailing address
1900 44TH St SE
Kentwood, MI 49508-5008
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | morgan.daul@mercyhealth.com | Direct |
Other providers in Grandville, MI
- Leeanna Czarnecki
- Andrew D'Addario
- Samuel Dame
- Jonathan James Dargo
- Danielle Jennifer Darling
- Dave'S Vision Center Inc.
- Alyssa Christine Davidson
- Amanda Davis
- Kristen Deam
- Matthew Dearlove
All providers in Grandville, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.