Daniel Saul Mizrahi, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5101016034 Issued in MI

Practice address

7633 E Jefferson Ave Ste 170
Detroit, MI 48214-3731

Phone

(313) 499-4661

NPI assigned

May 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165
• Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dmizrahi1141843@direct.hfhs.org

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.

• Mizrahi Medicine

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1023522414
  Medicare reassignment NPD Authorized official
• Hoover Urgent Care of Warren PLLC

  • Urgent Care Clinic/Center
  • Warren, MI
  • NPI 1821351610
  Medicare reassignment NPD
• Roseville Urgent Care, PC

  • Urgent Care Clinic/Center
  • Roseville, MI
  • NPI 1811297070
  Medicare reassignment NPD
• Southfield City Urgent Care PC

  • Urgent Care Clinic/Center
  • Southfield, MI
  • NPI 1811278716
  Medicare reassignment NPD
• Daniel Saul Mizrahi

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1770092272
  NPD (past) Authorized official
• Ccla 9 LLC

  • Skilled Nursing Facility
  • Detroit, MI
  • NPI 1851691844
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henry Ford Health Macomb Oakland Hospital

  • General Acute Care Hospital
  • Warren, MI
  • NPI 1124099858
  Care Compare affiliation
• Henry Ford Health Macomb Oakland Hospital

  • General Acute Care Hospital
  • Madison Heights, MI
  • NPI 1215139233
  Care Compare affiliation
• Henry Ford Health St. John Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1023088168
  Care Compare affiliation

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367884800000",
    "number": "1740499029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7633 E JEFFERSON AVE STE 170",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143731",
            "telephone_number": "313-499-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7633 E JEFFERSON AVE STE 170",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482143731",
            "telephone_number": "313-499-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZRAHI",
        "first_name": "DANIEL",
        "middle_name": "SAUL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2013-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101016034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "518837611",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Mixon
• Shania Maria Mize
• Sebastian Mizgala
• Takeshi Mizobuchi
• Mizrahi Medicine
• MJ'S Medical Transportation Service
• Asmik Mkrtychyan, FNP
• Savanna Lee Mladenoski
• Krzysztof Mlak, MD
• James Mo

• Internal Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.