David Pomaville

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501019086

Practice address

50505 Schoenherr Rd Ste 140
Shelby TWP, MI 48315-3140

Phone

(586) 710-2320

NPI assigned

Mar 3, 2020

Last updated

Mar 3, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associated Orthopedists of Detroit PCGroup PAC ID 3375440134, 17 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.14 of 100Reported as group

Quality

80.64

Promoting interoperability

100

Improvement activities

40

Cost

79.83

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.pomaville.1@24034.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/24034/brand/1/csg/1/fhir/r4

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.

• Associated Orthopedists of Detroit PC

  • Orthopaedic Surgery Physician
  • Saint Clair Shores, MI
  • NPI 1083686083

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Associated Orthopedists of Detroit, PC

  • Orthopaedic Surgery Physician
  • Shelby Township, MI
  • NPI 1669653606

  Physical Therapist

  NPD

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1598390239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24715 LITTLE MACK AVE STE 100",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480803207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50505 SCHOENHERR RD STE 140",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483153140",
            "telephone_number": "586-710-2320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24715 Little Mack Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Saint Clair Shores",
            "state": "MI",
            "postal_code": "480803207",
            "country_code": "US",
            "telephone_number": "586-779-7970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POMAVILLE",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "5501019086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Shelby TWP, MI
• Providers in Shelby TWP, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.