Individual provider Active NPI

David Sam Ungar, D.P.M

  • Podiatrist
  • Farmington, MI
National Provider Identifier
1699775015
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DU001140 Issued in MI
Practice address
34435 Grand River Ave
Farmington, MI 48335-3309
Phone
(248) 477-3301
Fax
(248) 478-2829
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X DU001140 MI Primary

Addresses

Primary practice location

34435 Grand River Ave
Farmington, MI 48335-3309

Mailing address

34435 Grand River Ave
Farmington, MI 48335-3309
Phone (248) 477-3301

Other identifiers 3

IdentifierTypeStateIssuer
480F318570OtherMIBLUE CROSS BLUE SHIELD
2842540MedicaidMI
1891836243OtherMIGROUP NPI

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080814000226 MI Practitioner - Podiatry 5092880773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

34435 Grand River Ave
Farmington Hills, MI 48335-3309
Phone (248) 477-3301

Hospital & facility affiliations

  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue149
Removal of skin lesions144
Removal of nail tissue210
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DU001140MIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
David S Ungar DPM PC Podiatrist CurrentSince Jun 30, 2001 Accepting new patients
The Wellness Plan Medical Centers Past Accepting new patients

Locations

34435 Grand River Ave
Farmington Hills, MI 48335
Phone (248) 268-4634

Interoperability endpoints

  • Direct secure messaging: dungar@direct.dmc.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/GCBDCD

Organizations & group practices 2

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 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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1699775015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34435 GRAND RIVER AVE",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483353309",
            "telephone_number": "248-477-3301",
            "fax_number": "248-478-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34435 GRAND RIVER AVE",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483353309",
            "telephone_number": "248-477-3301",
            "fax_number": "248-478-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNGAR",
        "first_name": "DAVID",
        "middle_name": "SAM",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "DU001140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "480F318570",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2842540",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1891836243",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MI

Sources for this page

Verify at the official NPI Registry.