Individual provider Active NPI

David F. Vella, M.D.

  • Internal Medicine Physician
  • West Bloomfield, MI
National Provider Identifier
1427126960
Registry record updated Mar 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
054177 Issued in MI
Practice address
Henry Ford Health System
6777 West Maple Road
West Bloomfield, MI 48323
Phone
(248) 661-6455
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2021

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 054177 MI Primary

Addresses

Primary practice location

Henry Ford Health System
6777 West Maple Road
West Bloomfield, MI 48323

Mailing address

8391 Commerce Rd
Suite 108
Commerce Township, MI 48382-4489
Phone (248) 360-8100

Other identifiers 4

IdentifierTypeStateIssuer
284782310MedicaidMI
700H262220OtherBLUE CROSS-BLUE CROSS
DV054177OtherCOMMERCIAL-COMMERCIAL NUMBER
DV054177OtherCHAMPUS-CHAMPUS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dvella12879@direct.hfhs.org

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
I20100602000962 MI Practitioner - Internal Medicine 1759410640 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
054177MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System CurrentSince Jan 1, 1975 Accepting new patients
Henry Ford Health System Internal Medicine CurrentSince Jan 1, 1975 Accepting new patients
Henry Ford Health System Current Accepting new patients

Locations

8391 Commerce Rd
Ste 108
Commerce Township, MI 48382
Phone (248) 360-8100

8391 Commerce Rd
Commerce Twp, MI 48382
Phone (248) 360-4077

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

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

6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616284800000",
    "number": "1427126960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8391 COMMERCE RD",
            "address_2": "SUITE 108",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483824489",
            "telephone_number": "248-360-8100",
            "fax_number": "248-360-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HENRY FORD HEALTH SYSTEM",
            "address_2": "6777 WEST MAPLE ROAD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "48323",
            "telephone_number": "248-661-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELLA",
        "first_name": "DAVID",
        "middle_name": "F.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2021-03-21",
        "certification_date": "2021-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "054177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284782310",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BLUE CROSS",
            "identifier": "700H262220",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL-COMMERCIAL NUMBER",
            "identifier": "DV054177",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS-CHAMPUS",
            "identifier": "DV054177",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dvella12879@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "Henry Ford Health System",
            "address_2": "6777 West Maple Road",
            "city": "West Bloomfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.