Individual provider Active NPI

Daniel F Ladd, P.A.

  • Physician Assistant
  • Traverse City, MI
National Provider Identifier
1689669251
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601001553 Issued in MI
Practice address
3537 W Front St Ste a
Traverse City, MI 49684-7942
Phone
(231) 935-2525
Fax
(231) 935-3437
NPI assigned
Sep 20, 2005
Last updated
Mar 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601001553 MI Primary

Addresses

Primary practice location

3537 W Front St Ste a
Traverse City, MI 49684-7942

Mailing address

1105 Sixth St
Traverse City, MI 49684-2386
Phone (231) 935-2525

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060626000311 MI Practitioner - Physician Assistant 5193737641 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Munson Medical CenterGroup PAC ID 3072426287, 377 clinicians

Practice addresses (Care Compare)

1400 Medical Campus Dr
Traverse City, MI 49684-7823
Phone (231) 935-8000

3537 W Front St
Suite a
Traverse City, MI 49684-7942
Phone (231) 935-8330

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Michigan PLLC CurrentSince Jun 1, 2019 Accepting new patients
Munson Medical Center CurrentSince Nov 30, 2024 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC CurrentSince May 29, 2019 Accepting new patients
Sound Inpatient Physicians-Michigan PLLC CurrentSince May 29, 2019 Accepting new patients
Novello Imaging PLC PastSince Nov 1, 2020 Accepting new patients
Indigo Services, PLC Past Accepting new patients
Grand Traverse Heart Institute Past Accepting new patients
Munson Medical Center Past Accepting new patients

Locations

1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

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

3537 W Front St
Traverse City, MI 49684
Phone (231) 935-5880

3537 W Front St
Ste A
Traverse City, MI 49684
Phone (231) 935-2525

Organizations & group practices 12

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 8

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1689669251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 SIXTH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842386",
            "telephone_number": "231-935-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3537 W FRONT ST STE A",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847942",
            "telephone_number": "231-935-2525",
            "fax_number": "231-935-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADD",
        "first_name": "DANIEL",
        "middle_name": "F",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601001553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.