Daniel B Azabache, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

4301084673 Issued in MI

Practice address

5671 N Skeel Ave
Oscoda, MI 48750-1535

Phone

(989) 739-2550

Fax

(989) 358-3750

NPI assigned

Nov 17, 2005

Last updated

Feb 26, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI, NY2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: danielazabache-mmacfh@direct.medalliesmail.com
• Direct secure messaging: dazabache3675302@direct.trinity-health.org

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.

• Sound Inpatient Physicians-Michigan, PLLC

  • Internal Medicine Physician
  • Kalamazoo, MI
  • NPI 1093967861
  Medicare reassignment NPD
• Union Community Health Center, Inc.

  • Clinic/Center
  • Bronx, NY
  • NPI 1437255155
  Medicare reassignment NPD
• Alcona Citizens for Health, Inc.

  dba Alcona Health Center Pharmacy

  • Community/Retail Pharmacy
  • Lincoln, MI
  • NPI 1891085486
  NPD
• Sound Inpatient Physicians - Michigan, PLLC

  dba Sound Physicians

  • Hospitalist Physician
  • Escanaba, MI
  • NPI 1366768178
  NPD
• Gulf Coast Nephrology Associates

  • Nephrology Physician
  • New Port Richey, FL
  • NPI 1548230295
  NPD (past)
• Mid-South Nephrology Consultants PLLC

  • Nephrology Physician
  • Memphis, TN
  • NPI 1346219342
  NPD (past)

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1477535193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5671 N SKEEL AVE",
            "city": "OSCODA",
            "state": "MI",
            "postal_code": "487501535",
            "telephone_number": "989-739-2550",
            "fax_number": "989-358-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5671 N SKEEL AVE",
            "city": "OSCODA",
            "state": "MI",
            "postal_code": "487501535",
            "telephone_number": "989-739-2550",
            "fax_number": "989-358-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZABACHE",
        "first_name": "DANIEL",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301084673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alcona Citizens for Health Inc (AHC Richardson Elementary School)
• Alcona Citizens for Health, Inc. (Alcona Health Center-Oscoda Services)
• Alcona Citizens for Health, Inc. (AHC Oscoda Area High School)
• Leah Marie Allen, CDP, CMDCP
• Amanda Joann Aube, FNP
• Tammy Rose Baldwin
• Nathan D. Barden, P.A.C.
• Kaleb M Barnes
• Andrew Beardsley
• Lydia Beardsley, CHW

• Nephrology Physician in Oscoda, MI
• Providers in Oscoda, MI by specialty
• Nephrology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.