David N Alter, MD
Individual provider Active NPI Chemical Pathology Physician · Grand Rapids, MI
NPI 1679569404 · NPPES record last updated Aug 16, 2019
Key facts
- NPI
- 1679569404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chemical Pathology Physician 207ZP0104X
- License
- 81251 (GA)
- Practice address
- 35 Michigan St NE
Grand Rapids, MI 49503-2514 - Phone
- (616) 267-2660
- NPI assigned
- Sep 27, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Pathology
- Education
- New York Medical College, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Emory Clinic Inc
Practice addresses (Care Compare)
1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525
Hospital & facility affiliations
- Emory University Hospital
- Emory University Hospital Midtown
- Emory Decatur Hospital
- Emory Johns Creek Hospital
- Saint Joseph'S Hospital of Atlanta, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190201000826 | GA | Practitioner - Pathology | 4688861586 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81251 | GA | MD | Chemical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Emory Clinic Inc | Current |
Accepting new patients |
Locations
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889
Interoperability endpoints
- dalter21674@direct.emory.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chemical Pathology Physician | 207ZP0104X | 4301074759 | MI | |
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 4301074759 | MI | |
| Chemical Pathology Physician | 207ZP0104X | 81251 | GA | Yes |
Addresses
Primary practice location
35 Michigan St NE
Grand Rapids, MI 49503-2514
Mailing address
2017 Wilshire Dr SE
Grand Rapids, MI 49506-4013
Phone (616) 633-0302
Other practice location 1
2990 Franklin Ave SW
Grandville, MI 49418-3505
Phone (616) 530-3344 ext. 112
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4485349 | Medicaid | MI | |
| 4485330 | Medicaid | MI |
Other providers in Grand Rapids, MI
- Alpine Oral Surgery PC
- Insam Alsanai
- James H Alt
- Jalyn Dreu Altemus
- Thomas Paul Altenberger
- Alternative Medical Supplies LLC
- Alternative Pathways
- Mikayla Althoff
- Mark D Altman
- Ashley Altom
All providers in Grand Rapids, MI · Chemical Pathology Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.