Individual provider Active NPI

Ileana Marie Daly, MD

  • Family Medicine Physician
  • Saginaw, MI
National Provider Identifier
1629636188
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4351045120 Issued in MI
Practice address
4705 Towne Centre Rd Ste 202
Saginaw, MI 48604-2819
Phone
(989) 791-3401
Fax
(989) 791-3466
NPI assigned
May 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4351045120 MI Primary

Addresses

Primary practice location

4705 Towne Centre Rd Ste 202
Saginaw, MI 48604-2819

Mailing address

4705 Towne Centre Rd Ste 202
Saginaw, MI 48604-2819
Phone (989) 791-3401

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
I20220929000777 MI Practitioner - Family Practice 3173857919 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plasencia Family Medicine PLLCGroup PAC ID 0446289623, 2 clinicians

Practice addresses (Care Compare)

4705 Towne Centre Rd
Suite 202
Saginaw, MI 48604-2819
Phone (989) 791-3401

Hospital & facility affiliations

  • Covenant Medical Center Hospital, Saginaw, MI, CCN 230070
  • McLaren Bay Region Hospital, Bay City, MI, CCN 230041

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc. CurrentSince Feb 14, 2023 Accepting new patients
Covenant Medical Center, Inc Family Medicine CurrentSince Feb 14, 2023 Accepting new patients
Plasencia Family Medicine PLLC Family Medicine CurrentSince Oct 1, 2022 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients

Locations

16440 Gratiot Rd
Hemlock, MI 48626
Phone (989) 583-0660

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

5570 State St
Saginaw, MI 48603
Phone (989) 583-0100

4705 Towne Centre Rd
Ste 202
Saginaw, MI 48604
Phone (989) 791-3401

Interoperability endpoints

  • Direct secure messaging: idaly76888@direct.covenanthealthcare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1629636188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 TOWNE CENTRE RD STE 202",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042819",
            "telephone_number": "989-791-3401",
            "fax_number": "989-791-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 TOWNE CENTRE RD STE 202",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042819",
            "telephone_number": "989-791-3401",
            "fax_number": "989-791-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALY",
        "first_name": "ILEANA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2023-11-08",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4351045120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.