Individual provider Active NPI

David Criss, MD

  • Internal Medicine Physician
  • Southfield, MI
National Provider Identifier
1326110305
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301058935 Issued in MI
Practice address
23077 Greenfield Rd Ste 280
Southfield, MI 48075-3716
Phone
(248) 557-3337
Fax
(248) 557-3339
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301058935 MI Primary

Addresses

Primary practice location

23077 Greenfield Rd Ste 280
Southfield, MI 48075-3716

Mailing address

13001 Rosemary Blvd
Oak Park, MI 48237-2134
Phone (248) 808-4578

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
I20031111000121 MI Practitioner - Internal Medicine 4880507367 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Michigan State University College of Human Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23077 Greenfield Rd
Suite 280
Southfield, MI 48075-3716
Phone (248) 557-3337

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
David Criss MD PC Internal Medicine CurrentSince Sep 21, 2019 Accepting new patients
K & M Medical & Catastrophic Management, LLC Internal Medicine CurrentSince Jun 6, 2024 Accepting new patients
Inpatient Consultants of Michigan PC Internal Medicine CurrentSince Apr 25, 2017 Accepting new patients
Senior Health Care Associates, PC Past Accepting new patients

Locations

22600 W Main St
Armada, MI 48005
Phone (734) 508-4569

1014 E Grand River Ave
Brighton, MI 48116
Phone (810) 220-5222

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

23077 Greenfield Rd
Ste 190
Southfield, MI 48075
Phone (248) 554-1116

23077 Greenfield Rd
Ste 280
Southfield, MI 48075
Phone (248) 557-3337

3005 E 11 Mile Rd
Ste C
Warren, MI 48092
Phone (586) 580-7690

625 36th St SW
Wyoming, MI 49509
Phone (517) 481-3715

Interoperability endpoints

  • Direct secure messaging: dcriss@direct.dmc.org
  • Direct secure messaging: dcriss1124072@direct.hfhs.org

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1326110305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13001 ROSEMARY BLVD",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372134",
            "telephone_number": "248-808-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD RD STE 280",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753716",
            "telephone_number": "248-557-3337",
            "fax_number": "248-557-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISS",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301058935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.