Darryl Kompus DPM PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5901001659 Issued in MI

Legal business name

DARRYL KOMPUS DPM PLLC

Practice address

15101 Ford Rd
Dearborn, MI 48126-4611

Phone

(313) 582-2796

NPI assigned

Feb 5, 2007

Last updated

Jul 14, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Darryl Francis Kompus, DPMNPI 1821017930

Title

President Podiatrist

Phone

(248) 540-2549

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Darryl Francis Kompus, DPM

  • Podiatrist
  • Novi, MI
  • NPI 1821017930
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310601600000",
    "number": "1386783470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18508 DEVONSHIRE",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "48025",
            "telephone_number": "248-672-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15101 FORD RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481264611",
            "telephone_number": "313-582-2796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARRYL KOMPUS DPM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2011-07-14",
        "status": "A",
        "authorized_official_last_name": "KOMPUS",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT PODIATRIST",
        "authorized_official_telephone_number": "248-540-2549",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5820969",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4125602",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darbak LLC
• Robert Darby
• Matthew C Darden, CRNA
• Colleen M. Dargie, M.D.
• Talin Rose Darian, MD
• Tala Darwich
• Zahraa I Darwich, DPT, PT
• Batoul Darwiche
• Bassam A Darwish
• Lina Darwish, MA, LLP

• Podiatrist in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.