Individual provider Active NPI

Daniel Michael, MD

  • Neurological Surgery Physician
  • Southfield, MI
National Provider Identifier
1487641999
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
4301042659 Issued in MI
Practice address
29275 Northwestern Hwy
Ste. 100
Southfield, MI 48034-1044
Phone
(877) 784-3667
Fax
(248) 784-3675
NPI assigned
Sep 29, 2005
Last updated
Apr 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4301042659 MI
Neurological Surgery Physician 207T00000X 4301042659 MI Primary

Addresses

Primary practice location

29275 Northwestern Hwy
Ste. 100
Southfield, MI 48034-1044

Mailing address

29275 Northwestern Hwy
Ste. 100
Southfield, MI 48034-1044
Phone (877) 784-3667

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
I20050919000490 MI Practitioner - Neurosurgery 0446283535 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Neurosurgical Associates, PC Neurological Surgery CurrentSince Jan 1, 1990 Accepting new patients
University Neurosurgical Associates PC Specialist CurrentSince Jan 1, 1990 Accepting new patients

Locations

2319 Momentum Pl
Chicago, IL 60689

3555 W 13 Mile Rd
Ste N220
Royal Oak, MI 48073
Phone (248) 268-5980

29275 Northwestern Hwy
Ste 100
Southfield, MI 48034
Phone (248) 351-6300

Organizations & group practices 2

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365724800000",
    "number": "1487641999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29275 NORTHWESTERN HWY",
            "address_2": "STE. 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341044",
            "telephone_number": "877-784-3667",
            "fax_number": "248-784-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29275 NORTHWESTERN HWY",
            "address_2": "STE. 100",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341044",
            "telephone_number": "877-784-3667",
            "fax_number": "248-784-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2013-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301042659",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "4301042659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.