Active NPI
David Alan Ginnebaugh, MD
- Family Medicine Physician
- Clinton Township, MI
National Provider Identifier
1306952767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301046263
- Practice address
- 43201 Commons Dr
Clinton Township, MI 48038-1110 - Phone
- (586) 228-0780
- Fax
- (586) 228-1809
- NPI assigned
- Aug 21, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301046263 | MI | Primary |
Addresses
Primary practice location
43201 Commons Dr
Clinton Township, MI 48038-1110
Mailing address
338 McMillan Rd
Grosse Pointe Farms, MI 48236-3418
Phone (313) 886-0214
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2756630 | Medicaid | MA |
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Wayne State University School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Henry Ford Semi Medical Group
Practice addresses (Care Compare)
17900 23 Mile Rd
Macomb, MI 48044-1161
Phone (313) 647-3900
43201 Commons Dr
Clinton Township, MI 48038-1110
Phone (586) 228-0780
Hospital & facility affiliations
- Henry Ford Home Health Care
- Henry Ford Macomb Hospital
- Henry Ford Health Hospital
- Henry Ford Health St John Hospital
- Beaumont Hospital, Troy
Merit-based Incentive Payment System (MIPS)
- Final score
- 28.4 of 100
- Quality
- 15
- Improvement activities
- 0
- Cost
- 74.66
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 29 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301046263 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Partridge Family Physicians PC | Current | Accepting new patients |
Locations
43201 Commons Dr
Clinton Twp, MI 48038
Phone (586) 228-0780
Interoperability endpoints
- davidginnebaugh@pfppc.allscriptsdirect.net
- dginnebaugh63361@direct.hfhs.org
Organizations & group practices 1
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.
-
- General Practice Physician
- Clinton TWP, MI
- NPI 1043422132
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- Home Health Agency
- Detroit, MI
- NPI 1932162096
-
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- General Acute Care Hospital
- Warren, MI
- NPI 1902842735
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258070400000",
"number": "1306952767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "338 MCMILLAN RD",
"city": "GROSSE POINTE FARMS",
"state": "MI",
"postal_code": "482363418",
"telephone_number": "313-886-0214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43201 COMMONS DR",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480381110",
"telephone_number": "586-228-0780",
"fax_number": "586-228-1809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GINNEBAUGH",
"first_name": "DAVID",
"middle_name": "ALAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2009-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301046263",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2756630",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.