Individual provider Active NPI

Daniel Michael Alyesh, MD

  • Clinical Cardiac Electrophysiology Physician
  • Ann Arbor, MI
National Provider Identifier
1780819979
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
4301103262 Issued in MI
Practice address
1500 E Medical Center Dr
3Rd Floor Cardiovascular Cneter
Ann Arbor, MI 48109-5856
Phone
(734) 232-4505
NPI assigned
May 18, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301103262 MI
Clinical Cardiac Electrophysiology Physician 207RC0001X 4301103262 MI Primary
Cardiovascular Disease Physician 207RC0000X 4301103262 MI
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1500 E Medical Center Dr
3Rd Floor Cardiovascular Cneter
Ann Arbor, MI 48109-5856

Mailing address

3621 S State St
700 KMS Place
Ann Arbor, MI 48108
Phone (734) 936-2047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20180726002632 CO Practitioner - Cardiovascular Disease (Cardiology) 0749404606 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Georgetown University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Portercare Adventist Health SystemGroup PAC ID 0941110886, shared by 12 NPIs, 770 clinicians

Practice addresses (Care Compare)

1000 Southpark Dr
Littleton, CO 80120-5654
Phone (303) 744-1065

Hospital & facility affiliations

  • AdventHealth Littleton Hospital, Littleton, CO, CCN 060113
  • AdventHealth Porter Hospital, Denver, CO, CCN 060064
  • AdventHealth Parker Hospital, Parker, CO, CCN 060114
  • HCA-Healthone Dba Swedish Medical Center Hospital, Englewood, CO, CCN 060034
  • Adventhealth Castle Rock Hospital, Castle Rock, CO, CCN 060125

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301103262MIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System Cardiovascular Disease CurrentSince Sep 1, 2018 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Sep 1, 2018 Accepting new patients
Portercare Adventist Health System CurrentSince Sep 1, 2018 Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

2352 Meadows Blvd
Ste 115
Castle Rock, CO 80109

2350 Meadows Blvd
Castle Rock, CO 80109
Phone (720) 248-3413

2525 S Downing St
Denver, CO 80210
Phone (303) 744-2706

2535 S Downing St
Ste 460
Denver, CO 80210

500 E Hampden Ave
Ste 204
Englewood, CO 80113
Phone (303) 778-6527

425 S Cherry St
Ste 410
Glendale, CO 80246
Phone (303) 333-3388

1000 Southpark Dr
Littleton, CO 80120
Phone (303) 715-2245

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

9399 Crown Crest Blvd
Ste 200
Parker, CO 80138
Phone (303) 269-4410

9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000

Organizations & group practices 5

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 12

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": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1780819979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "address_2": "700 KMS PLACE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48108",
            "telephone_number": "734-936-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DR",
            "address_2": "3RD FLOOR CARDIOVASCULAR CNETER",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095856",
            "telephone_number": "734-232-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALYESH",
        "first_name": "DANIEL",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301103262",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "MI",
            "license": "4301103262",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301103262",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.