Active NPI
Daniel John Legault, MD
- Nephrology Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- DL056685
- Practice address
- 330 E Beltline Ave NE
Suite 100
Grand Rapids, MI 49506-1267 - Phone
- (616) 752-6235
- Fax
- (616) 752-6324
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | DL056685 | MI | Primary |
Addresses
Primary practice location
330 E Beltline Ave NE
Suite 100
Grand Rapids, MI 49506-1267
Mailing address
330 E Beltline Ave NE
Suite 100
Grand Rapids, MI 49506-1267
Phone (616) 752-6235
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3410503 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | daniel.legault@rawm.eclinicaldirectplus.com |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- University of Michigan Medical School, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Edison Ave NW
Christian Rest Home
Grand Rapids, MI 49504-3918
Phone (616) 453-2475
1010 Edison Ave NW
Edison Assisted Living Center
Grand Rapids, MI 49504-3918
Phone (616) 453-0581
200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Phone (616) 685-1835
330 E Beltline Ave NE
Suite 100
Grand Rapids, MI 49506-1267
Phone (616) 752-6235
Hospital & facility affiliations
- Mercy Health Saint Mary's
- Spectrum Health
- Trinity Health Muskegon Hospital
- University of Michigan Health - West
- Lakeland Hospital, St Joseph
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.16 of 100
- Quality
- 95.73
- Improvement activities
- 40
- Cost
- 75.12
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DL056685 | MI | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Saint Mary's Health Services | Current | Accepting new patients | |
| Renal Associates of West Michigan PC | Nephrology | Current | Accepting new patients |
| Rai Care Centers of Holland, LLC | Past | Accepting new patients | |
| University Medical Diagnostic Associates, Inc. | Nephrology | Past | Accepting new patients |
Locations
310 Lafayette Ave SE
Grand Rapids, MI 49503
Phone (616) 685-3450
310 Lafayette Ave SE
Ste 410
Grand Rapids, MI 49503
Phone (616) 685-8200
330 E Beltline Ave NE
Ste 100
Grand Rapids, MI 49506
Phone (616) 752-6235
200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-5000
275 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 267-7900
649 Hastings Ave
Holland, MI 49423
Phone (616) 392-3263
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
Interoperability endpoints
- dlegault35966@direct.acumenmd.com
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.
-
- Nephrology Physician
- Grand Rapids, MI
- NPI 1871674200
-
- Geriatric Medicine (Internal Medicine) Physician
- Grand Rapids, MI
- NPI 1063917425
-
dba Corewell Health Medical Group West
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
-
dba Corewell Health Medical Group West
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1689499667
-
dba Rai - Hastings Ave - Holland
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Holland, MI
- NPI 1649477282
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
Nephrology
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Corewell Health Lakeland Hospitals
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
-
dba Mercy Health Muskegon
- General Acute Care Hospital
- Muskegon, MI
- NPI 1831132133
-
dba Metro Health Hospital
- General Acute Care Hospital
- Wyoming, MI
- NPI 1619923919
-
dba Corewell Health Pennock Hospital
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
dba Mercy Health Saint Mary's
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1639111057
-
dba Corewell Health Grand Rapids Hospital
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635465600000",
"number": "1649204892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 E BELTLINE AVE NE",
"address_2": "SUITE 100",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495061267",
"telephone_number": "616-752-6235",
"fax_number": "616-752-6324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 E BELTLINE AVE NE",
"address_2": "SUITE 100",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495061267",
"telephone_number": "616-752-6235",
"fax_number": "616-752-6324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGAULT",
"first_name": "DANIEL",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2021-10-29",
"certification_date": "2021-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MI",
"license": "DL056685",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3410503",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "daniel.legault@rawm.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "330 E Beltline Ave NE",
"address_2": "Suite 100",
"city": "Grand Rapids",
"state": "MI",
"country_code": "US",
"postal_code": "495061267",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.
- 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.