David Dennis Dargis, D.O.
Individual provider Active NPI Family Medicine Physician · Alpena, MI
NPI 1457490609 · NPPES record last updated Apr 30, 2011
Key facts
- NPI
- 1457490609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 5101014566 (MI)
- Practice address
- 109 S 13TH Ave
Alpena, MI 49707-1609 - Phone
- (989) 356-2400
- Fax
- (989) 354-2606
- NPI assigned
- Feb 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 11
Hospital & facility affiliations 21
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alpena Express Care and Family Practice, PLC
Practice addresses (Care Compare)
109 S 13TH Ave
Alpena, MI 49707-1609
Phone (989) 356-2400
Hospital & facility affiliations
- Compassus - Northern Michigan
- Hospice of Northeastern Michigan
- McLaren Hospice
- The Care Team Hospice
- Mymichigan Medical Center Alpena
- Chippewa County War Memorial Hospital
- Munson Healthcare Otsego Memorial Hospital
- Tawas St Joseph Hospital
- Munson Healthcare Grayling Hospital
- Medilodge of Cheboygan
- Medilodge of Rogers City
- Medilodge of Alpena
- Medilodge of Gaylord
- Medilodge of Sault Ste. Marie
Merit-based Incentive Payment System (MIPS)
- Final score
- 22.02 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 73.39
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Wellspring Lutheran Services |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2020 Jan 1, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050310000369 | MI | Practitioner - Family Practice |
7416901699 |
Reassigns benefits to 1 organization Receives reassigned benefits from 1 practitioner Practice locations: Alpena, MI |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpena Express Care and Family Practice, PLC | Family Medicine | Current |
Accepting new patients |
| Atrium Lincoln Haven LLC | Past | Accepting new patients | |
| Cheboygan Opco LLC | Past | Accepting new patients | |
| Rogers City Opco, LLC | Past | Accepting new patients | |
| Gaylord Opco, LLC | Past | Accepting new patients | |
| Sault Ste. Marie Opco, LLC | Past | Accepting new patients | |
| Alpena Opco LLC | Past | Accepting new patients | |
| Ausable Valley Continuing Care Retirement Community, Inc. | Past | Accepting new patients | |
| Iosco Medical Care Facility | Past | Accepting new patients | |
| Green View Opco, LLC | Past | Accepting new patients | |
| Hillman Opco LLC | Past | Accepting new patients |
Locations
301 Long Rapids Rd
Alpena, MI 49707
Phone (989) 354-2194
109 S Thirteenth Ave
Alpena, MI 49707
Phone (989) 356-2400
1390 Maple Dr
Fairview, MI 48621
Phone (989) 848-2241
1201 Harris Ave
Tawas City, MI 48763
Phone (989) 362-4424
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101014566 | MI | Yes |
Addresses
Primary practice location
109 S 13TH Ave
Alpena, MI 49707-1609
Mailing address
109 S 13TH Ave
Alpena, MI 49707-1609
Phone (989) 356-2400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457490609 | Medicaid | MI |
Other providers in Alpena, MI
- Traci Dahl
- Mary Damery
- Daniel & Max, LLC
- Lindsey Nicole Daoust
- Melinda S Daoust
- David M Beatty D.D.S.
- Robert E Davidson
- Vicki S. Debolt
- James D Decker
- Joanne Degen
All providers in Alpena, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.