Individual provider Active NPI

David Lustig, DO

  • Neurology Physician
  • Clinton Township, MI
National Provider Identifier
1316971252
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
5101005558 Issued in MI
Practice address
43475 Dalcoma Dr Ste 150
Clinton Township, MI 48038-3594
Phone
(248) 784-3667
Fax
(248) 869-3982
NPI assigned
Jul 10, 2006
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 5101005558 MI Primary

Addresses

Primary practice location

43475 Dalcoma Dr Ste 150
Clinton Township, MI 48038-3594

Mailing address

25500 Meadowbrook Rd Ste 150
Novi, MI 48375-1880
Phone (248) 784-3667

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address david.lustig.p1@direct.mhsineuro.nextgenshare.com

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
I20080408000446 MI Practitioner - NeurologyPractitioner - Internal Medicine 4284711755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Neurosurgical Associates, PC CurrentSince Aug 1, 2012 Accepting new patients
University Neurosurgical Associates, PC CurrentSince Aug 1, 2012 Accepting new patients
University Neurosurgical Associates PC Current Accepting new patients

Locations

2319 Momentum Pl
Chicago, IL 60689

43475 Dalcoma Dr
Ste 150
Clinton Twp, MI 48038
Phone (248) 709-6289

25500 Meadowbrook Rd
Ste 150
Novi, MI 48375
Phone (248) 784-3667

46325 W Twelve Mile Rd
Ste 100
Novi, MI 48377
Phone (248) 618-2121

29275 Northwestern Hwy
Ste 100
Southfield, MI 48034
Phone (248) 351-6300

Interoperability endpoints

  • Direct secure messaging: david.lustig.p1@direct.mhsineuro.nextgenshare.com
  • Direct secure messaging: dlustig57933@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1316971252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 MEADOWBROOK RD STE 150",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751880",
            "telephone_number": "248-784-3667",
            "fax_number": "248-869-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43475 DALCOMA DR STE 150",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480383594",
            "telephone_number": "248-784-3667",
            "fax_number": "248-869-3982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSTIG",
        "first_name": "DAVID",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "5101005558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.lustig.p1@direct.mhsineuro.nextgenshare.com",
            "affiliation": "N",
            "address_1": "43475 Dalcoma Dr Ste 150",
            "city": "Clinton Township",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480383594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.