Individual provider Active NPI

David A Diskin, M.D.

  • Ophthalmology Physician
  • Flint, MI
National Provider Identifier
1306843594
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
DD057058 Issued in MI
Practice address
4499 Town Center Pkwy
Flint, MI 48532-3425
Phone
(810) 733-7111
Fax
(810) 733-7141
NPI assigned
Jul 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X DD057058 MI Primary

Addresses

Primary practice location

4499 Town Center Pkwy
Flint, MI 48532-3425

Mailing address

622 Vinewood Ave
Birmingham, MI 48009-1311

Other identifiers 1

IdentifierTypeStateIssuer
2746446MedicaidMI

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
I20110127001001 MI Practitioner - Ophthalmology 7517155591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Michigan Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mei Operations, PLLCGroup PAC ID 2860436318, 17 clinicians

Practice addresses (Care Compare)

4499 Town Ctr Pkwy
Flint, MI 48532-3425
Phone (810) 733-7111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DD057058MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mei Operations, PLLC Ophthalmology CurrentSince Jul 1, 1992 Accepting new patients
Lapeer County Eye Associates Inc PastSince Jan 1, 2003 Accepting new patients
Mei Surgery Center LLC Past Accepting new patients

Locations

16255 Silver Pkwy
Fenton, MI 48430
Phone (810) 629-7900

4495 Town Center Pkwy
Flint, MI 48532
Phone (810) 244-3937

4499 Town Center Pkwy
Flint, MI 48532
Phone (810) 733-7111

8275 Holly Rd
Ste 3
Grand Blanc, MI 48439
Phone (810) 694-8400

1005 S Lapeer Rd
Lapeer, MI 48446
Phone (810) 664-5458

129 W Nepessing St
Lapeer, MI 48446
Phone (810) 664-3937

Interoperability endpoints

  • Direct secure messaging: ddiskin1125327@direct.hfhs.org

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328832000000",
    "number": "1306843594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 VINEWOOD AVE",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4499 TOWN CENTER PKWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323425",
            "telephone_number": "810-733-7111",
            "fax_number": "810-733-7141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISKIN",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2012-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "DD057058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2746446",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.