Individual provider Active NPI

Danny Ashkar, PA-C

  • Physician Assistant
  • Wyandotte, MI
National Provider Identifier
1417337221
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601007369 Issued in MI
Practice address
1768 Ford Ave
Wyandotte, MI 48192-2306
Phone
(734) 299-0712
NPI assigned
Jun 5, 2015
Last updated
Oct 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601007369 MI Primary

Addresses

Primary practice location

1768 Ford Ave
Wyandotte, MI 48192-2306

Mailing address

745 Beechmont St
Dearborn, MI 48124-1574
Phone (313) 903-0309

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150812008053 MI Practitioner - Physician Assistant 1951616432 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Urgent Care PLLCGroup PAC ID 9234538901, 5 clinicians
Wyandotte Urgent Care ClinicGroup PAC ID 4183996150, 17 clinicians
Southshore Urgent Care PLLCGroup PAC ID 5698009777, 14 clinicians

Practice addresses (Care Compare)

1407 E Michigan Ave
Jackson, MI 49202-3517
Phone (517) 888-6348

1768 Ford Ave
Wyandotte, MI 48192-2306
Phone (313) 377-5758

20789 Gibraltar Rd
Brownstown TWP, MI 48183-5087
Phone (734) 444-2961

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601007369MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Hospital Corporation CurrentSince Aug 17, 2015 Accepting new patients
Henry Ford Macomb Hospital Corporation Physician Assistant CurrentSince Aug 17, 2015 Accepting new patients
Blue Water Urgent Care PLLC CurrentSince Jul 1, 2026 Accepting new patients

Locations

20789 Gibraltar Rd
Brownstown Twp, MI 48183
Phone (734) 444-2961

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

1407 E Michigan Ave
Jackson, MI 49202
Phone (517) 784-1142

1768 Ford Ave
Wyandotte, MI 48192
Phone (313) 377-5758

Organizations & group practices 9

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": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1417337221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 BEECHMONT ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241574",
            "telephone_number": "313-903-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1768 FORD AVE",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481922306",
            "telephone_number": "734-299-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHKAR",
        "first_name": "DANNY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-05",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyandotte, MI

Sources for this page

Verify at the official NPI Registry.