Active NPI
Dana G Kissner, MD
- Pulmonary Disease Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 4301038391
- Practice address
- 3990 John R 6 Brush Ctr
Harper University Hospital
Detroit, MI 48201-2018 - Phone
- (313) 745-8516
- Fax
- (313) 745-7414
- NPI assigned
- Jun 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301038391 | MI | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 4301038391 | MI | |
| Pulmonary Disease Physician | 207RP1001X | 4301038391 | MI | Primary |
Addresses
Primary practice location
3990 John R 6 Brush Ctr
Harper University Hospital
Detroit, MI 48201-2018
Mailing address
1560 E Maple Rd
Suite 400-Credentialing
Troy, MI 48083-1138
Phone (313) 745-8516
Other names 1
- Dana Gleicher
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Group | Internal Medicine | Current | Accepting new patients |
| University Physician Group | Past | Accepting new patients | |
| City of Detroit | Past | Accepting new patients |
Locations
3990 John R St
#8
Detroit, MI 48201
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
3990 John R St
#6
Detroit, MI 48201
Phone (313) 745-8516
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000
1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200
1560 E Maple Rd
Ste 400
Troy, MI 48083
Interoperability endpoints
- dkissner@direct.dmc.org
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1447299797
-
- Public Health or Welfare Agency
- Detroit, MI
- NPI 1033429394
-
- Social Worker
- Livonia, MI
- NPI 1154360402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473379200000",
"number": "1497793574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 E MAPLE RD",
"address_2": "SUITE 400-CREDENTIALING",
"city": "TROY",
"state": "MI",
"postal_code": "480831138",
"telephone_number": "313-745-8516",
"fax_number": "313-745-7414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3990 JOHN R 6 BRUSH CTR",
"address_2": "HARPER UNIVERSITY HOSPITAL",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012018",
"telephone_number": "313-745-8516",
"fax_number": "313-745-7414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISSNER",
"first_name": "DANA",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2016-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301038391",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MI",
"license": "4301038391",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MI",
"license": "4301038391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANA",
"last_name": "GLEICHER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.