Individual provider Active NPI

Evtishios James Daros, D.O.

  • Family Medicine Physician
  • Grand Blanc, MI
National Provider Identifier
1316944333
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ED007048 Issued in MI
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

Updated by the provider on Jul 13, 2026

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 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

IdentifierTypeStateIssuer
2095522MedicaidMI
5253833OtherMIBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100729000584 MI Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 1658364880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.65 of 100Reported as group
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

LicenseStateTypeSpecialty
ED007048MIMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: evtishios.daros.1@24554.direct.athenahealth.com
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.