Active NPI
Evtishios James Daros, D.O.
- Family Medicine Physician
- Grand Blanc, MI
National Provider Identifier
1316944333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ED007048
- Practice address
- 8275 Holly Rd
Suite1
Grand Blanc, MI 48439-2442 - Phone
- (810) 603-0990
- NPI assigned
- Jul 5, 2005
- 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 | ED007048 | MI | Primary |
Addresses
Primary practice location
8275 Holly Rd
Suite1
Grand Blanc, MI 48439-2442
Mailing address
8275 Holly Rd
Suite1
Grand Blanc, MI 48439-2442
Phone (810) 603-0990
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2095522 | Medicaid | MI | |
| 5253833 | Other | MI | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 89.65 of 100
- Quality
- 94.14
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.35
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ED007048 | MI | MD | Family Medicine Physician |
Interoperability endpoints
- evtishios.daros.1@24554.direct.athenahealth.com
- edaros1124513@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.
-
- Family Medicine Physician
- Grand Blanc, MI
- NPI 1902029713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1316944333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8275 HOLLY RD",
"address_2": "SUITE1",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484392442",
"telephone_number": "810-603-0990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8275 HOLLY RD",
"address_2": "SUITE1",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484392442",
"telephone_number": "810-603-0990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAROS",
"first_name": "EVTISHIOS",
"middle_name": "JAMES",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "ED007048",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2095522",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5253833",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Blanc, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.