Active NPI
Gerald Daneshvar, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Hamtramck, MI
National Provider Identifier
1548427164
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Sep 20, 2018.
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 4301081745
- Practice address
- 10005 Joseph Campau St
Hamtramck, MI 48212-3221 - Phone
- (313) 782-4098
- Fax
- (313) 782-4977
- NPI assigned
- May 21, 2008
- Last updated
- Jun 23, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 4301081745 | MI | Primary |
Addresses
Primary practice location
10005 Joseph Campau St
Hamtramck, MI 48212-3221
Mailing address
3425 Lone Pine Rd
West Bloomfield, MI 48323-3327
Phone (734) 657-6317
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartland Urgent Care PLLC | Past | Accepting new patients | |
| Adrian Urgent Care PLLC | Past | Accepting new patients | |
| Warren Urgent Care PC | Past | Accepting new patients | |
| Fuad Khaznehkatbi MD PC | Past | Accepting new patients | |
| Southgate Urgent Care PC | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Warren, MI
- NPI 1316347917
-
- Urgent Care Clinic/Center
- Adrian, MI
- NPI 1144611633
-
- Specialist
- Bloomfield Hills, MI
- NPI 1417276759
-
- Urgent Care Clinic/Center
- Hartland, MI
- NPI 1144460882
-
- Urgent Care Clinic/Center
- Southgate, MI
- NPI 1790967339
-
- Urgent Care Clinic/Center
- Warren, MI
- NPI 1255513891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403481600000",
"number": "1548427164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3425 LONE PINE RD",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483233327",
"telephone_number": "734-657-6317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10005 JOSEPH CAMPAU ST",
"city": "HAMTRAMCK",
"state": "MI",
"postal_code": "482123221",
"telephone_number": "313-782-4098",
"fax_number": "313-782-4977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANESHVAR",
"first_name": "GERALD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-21",
"last_updated": "2014-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "MI",
"license": "4301081745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamtramck, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.