Individual provider Active NPI

Daniel D Thuente, M.D.

  • Ophthalmology Physician
  • Traverse City, MI
National Provider Identifier
1720072069
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301083024 Issued in MI
Practice address
929 Business Park Dr
Traverse City, MI 49686
Phone
(231) 947-6246
Fax
(231) 947-8864
NPI assigned
Sep 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301083024 MI Primary
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X 4301083024 MI

Addresses

Primary practice location

929 Business Park Dr
Traverse City, MI 49686

Mailing address

929 Business Park Dr
Traverse City, MI 49686-8683
Phone (231) 947-6246

Other identifiers 2

IdentifierTypeStateIssuer
4608977MedicaidMI
4629378MedicaidMI

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
I20040726000717 MI Practitioner - Ophthalmology 6305826645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Indiana University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Traverse Ophthalmology Clinic PCGroup PAC ID 4981503521, 13 clinicians

Practice addresses (Care Compare)

511 Ashmun St
Sault Sainte Marie, MI 49783-1960
Phone (906) 635-9802

929 Business Park Dr
Traverse City, MI 49686-8683
Phone (231) 932-4336

Hospital & facility affiliations

  • Munson Medical Center Hospital, Traverse City, MI, CCN 230097

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery30

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Traverse Ophthalmology Clinic PC Ophthalmology CurrentSince Aug 1, 2004 Accepting new patients

Locations

2061 M 119
Petoskey, MI 49770
Phone (231) 487-2020

511 Ashmun St
Sault South Marie, MI 49783
Phone (906) 635-5955

929 Business Park Dr
Traverse City, MI 49686
Phone (231) 932-4336

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: dthuente@direct.gtoc.nextgenshare.com

Organizations & group practices 1

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 1

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": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1720072069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 BUSINESS PARK DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496868683",
            "telephone_number": "231-947-6246",
            "fax_number": "231-947-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 BUSINESS PARK DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "49686",
            "telephone_number": "231-947-6246",
            "fax_number": "231-947-8864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THUENTE",
        "first_name": "DANIEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301083024",
            "primary": true
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "MI",
            "license": "4301083024",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4608977",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4629378",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.