Individual provider Active NPI

Dipak K Das, M.D.

  • Internal Medicine Physician
  • Wyandotte, MI
National Provider Identifier
1699755181
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DD032902 Issued in MI
Practice address
995 Ford Avenue
Wyandotte, MI 48192
Phone
(734) 284-3100
Fax
(734) 284-8212
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DD032902 MI Primary

Addresses

Primary practice location

995 Ford Avenue
Wyandotte, MI 48192

Mailing address

4040 Lakeridge LN
Bloomfield Hills, MI 48302-1622
Phone (248) 538-7722

Other identifiers 1

IdentifierTypeStateIssuer
1042102110MedicaidMI

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
I20040920001107 MI Practitioner - Internal Medicine 2860380391 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nathan Bining MD PLLCGroup PAC ID 2961398607, 2 clinicians

Practice addresses (Care Compare)

15332 Fort St
Southgate, MI 48195-1304
Phone (734) 522-7777

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DD032902MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Home Medical Services PC PastSince Nov 1, 1998 Accepting new patients
Hygieia Inc PastSince Sep 1, 2021 Accepting new patients
Millennium Medical Group South PC Internal Medicine Past Accepting new patients
Satinder Kumar Aggarwal MD P C Internal Medicine Past Accepting new patients
Mongkol Mong, M.D.P.C. Internal Medicine PastSince Jan 20, 2010 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ddas57816@direct.hfhs.org
  • Direct secure messaging: ddas1230509@epic00.shdirect.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1699755181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 LAKERIDGE LN",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021622",
            "telephone_number": "248-538-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 FORD AVENUE",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "48192",
            "telephone_number": "734-284-3100",
            "fax_number": "734-284-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAS",
        "first_name": "DIPAK",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "DD032902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1042102110",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyandotte, MI

Sources for this page

Verify at the official NPI Registry.