Individual provider Active NPI

Thomas E Damuth, M.D.

  • Pulmonary Disease Physician
  • Saginaw, MI
National Provider Identifier
1386757573
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
TD038091 Issued in MI
Practice address
800 Cooper Ave
Suite 4
Saginaw, MI 48602-5394
Phone
(989) 753-9200
Fax
(989) 753-2198
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X TD038091 MI Primary

Addresses

Primary practice location

800 Cooper Ave
Suite 4
Saginaw, MI 48602-5394

Mailing address

800 Cooper Ave
Suite 4
Saginaw, MI 48602-5394
Phone (989) 753-9200

Other identifiers 4

IdentifierTypeStateIssuer
290G310260OtherMIBCBS OF MI
0678331OtherMIHEALTH PLUS
0G31026OtherMIBLUE CARE NETWORK OF MI
2119375MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tdamuth526@direct.covenanthealthcare.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
I20041123000538 MI Practitioner - Pulmonary Disease 2062477664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
University of Michigan Medical School, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Center, Inc.Group PAC ID 2769387778, 488 clinicians

Practice addresses (Care Compare)

800 Cooper Ave
Suite 8
Saginaw, MI 48602-5373
Phone (989) 753-7076

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TD038091MIMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc CurrentSince Sep 7, 2014 Accepting new patients
Covenant Medical Center, Inc. CurrentSince Sep 7, 2014 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients

Locations

800 Cooper Ave
Ste 8
Saginaw, MI 48602
Phone (517) 752-1177

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

800 Cooper Ave
Ste 4
Saginaw, MI 48602
Phone (989) 583-7380

700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1386757573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 COOPER AVE",
            "address_2": "SUITE 4",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025394",
            "telephone_number": "989-753-9200",
            "fax_number": "989-753-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 COOPER AVE",
            "address_2": "SUITE 4",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025394",
            "telephone_number": "989-753-9200",
            "fax_number": "989-753-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMUTH",
        "first_name": "THOMAS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "TD038091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "290G310260",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "0678331",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK OF MI",
            "identifier": "0G31026",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2119375",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tdamuth526@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "800 Cooper Ave",
            "address_2": "Suite 4",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486025394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.