Individual provider Active NPI

Daniel C Hadley, MD

  • Family Medicine Physician
  • Boulder, CO
National Provider Identifier
1629115977
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301111226 Issued in MI
Practice address
2995 Baseline Rd
Suite 210
Boulder, CO 80303-2318
Phone
(303) 443-2544
Fax
(303) 443-6476
NPI assigned
Jan 30, 2007
Last updated
Jan 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0045562 CO
Family Medicine Physician 207Q00000X 4301111226 MI Primary

Addresses

Primary practice location

2995 Baseline Rd
Suite 210
Boulder, CO 80303-2318

Mailing address

N5241 US Highway 45
Watersmeet, MI 49969-0009
Phone (906) 358-4588

Other practice location 1

9975 W Ottawa Ave
Empire, MI 49630-9618
Phone (231) 835-2088

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
I20230821003210 MI Practitioner - Family Practice 8628166493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paul Oliver Memorial HospitalGroup PAC ID 8628964848, 6 clinicians

Practice addresses (Care Compare)

224 Park Ave
Frankfort, MI 49635-9658
Phone (231) 352-2200

9975 W Ottawa Ave
Empire, MI 49630-9618
Phone (231) 835-2088

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301111226MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paul Oliver Memorial Hospital CurrentSince Jul 28, 2023 Accepting new patients
Paul Oliver Memorial Hospital Current Accepting new patients
Paul Oliver Memorial Hospital CurrentSince Jul 28, 2023 Accepting new patients
Boulder Community Health Past Accepting new patients
Paul Oliver Memorial Hospital Family Medicine Past Accepting new patients

Locations

9975 W Ottawa Ave
Empire, MI 49630
Phone (231) 213-1115

224 Park Ave
Frankfort, MI 49635
Phone (231) 352-2200

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1629115977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N5241 US HIGHWAY 45",
            "city": "WATERSMEET",
            "state": "MI",
            "postal_code": "499690009",
            "telephone_number": "906-358-4588",
            "fax_number": "906-358-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 BASELINE RD",
            "address_2": "SUITE 210",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032318",
            "telephone_number": "303-443-2544",
            "fax_number": "303-443-6476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9975 W Ottawa Ave",
            "address_purpose": "LOCATION",
            "city": "Empire",
            "state": "MI",
            "postal_code": "496309618",
            "country_code": "US",
            "telephone_number": "231-835-2088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HADLEY",
        "first_name": "DANIEL",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0045562",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301111226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.