Individual provider Active NPI

David Wittgens, M.D.

  • Family Medicine Physician
  • Imlay City, MI
National Provider Identifier
1801025432
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301094800 Issued in MI
Practice address
6800 Newark Rd Ste 200
Imlay City, MI 48444-9656
Phone
(810) 724-3201
Fax
(810) 724-4605
NPI assigned
Jul 2, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301094800 MI Primary

Addresses

Primary practice location

6800 Newark Rd Ste 200
Imlay City, MI 48444-9656

Mailing address

6800 Newark Rd Ste 200
Imlay City, MI 48444-9656
Phone (810) 724-3201

Other practice location 1

1180 Newfield Ave
Stamford, CT 06905-1409
Phone (314) 888-5233

Other identifiers 1

IdentifierTypeStateIssuer
4301094800MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address david.wittgens@direct.medfusion.com

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
I20120727000071 MI Practitioner - Family PracticePractitioner - Emergency Medicine 6406012947 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Bay Health CentersGroup PAC ID 2466369046, shared by 30 NPIs, 85 clinicians

Practice addresses (Care Compare)

501 Lapeer Ave
Saginaw, MI 48607-1203
Phone (989) 753-6000

Hospital & facility affiliations

  • McLaren Lapeer Region Hospital, Lapeer, MI, CCN 230193

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Bay Health Centers CurrentSince Jul 1, 2020 Accepting new patients
St Joseph Mercy Hospital CurrentSince Jul 13, 2019 Accepting new patients
St Joseph Mercy Hospital Current Accepting new patients
Iha Health Service Corporation CurrentSince Sep 1, 2019 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Oct 1, 2014 Accepting new patients
St Joseph Mercy Hospital Family Medicine CurrentSince Jul 13, 2019 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Iha Health Services Corporation Current Accepting new patients
Great Lakes Bay Health Centers CurrentSince Jul 1, 2020 Accepting new patients
Iha Health Services Corporation CurrentSince Sep 1, 2019 Accepting new patients
Great Lakes Bay Health Centers Family Medicine Past Accepting new patients
Mid-Michigan Physicians, PC Family Medicine Past Accepting new patients
McLaren Greater Lansing Family Medicine Past Accepting new patients
Chuck R. Colas, D.O., P.C. Family Medicine Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

4200 Whitehall Dr
Ste 150
Ann Arbor, MI 48105
Phone (734) 995-0308

2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840

1600 S Canton Center Rd
Canton, MI 48188
Phone (734) 398-7557

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

6800 Newark Rd
Ste 200
Imlay City, MI 48444
Phone (810) 721-8700

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

716 N Clippert St
Lansing, MI 48912
Phone (517) 253-4000

800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900

1255 E M 36
Pinckney, MI 48169
Phone (734) 878-1000

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

501 Lapeer Ave
#R
Saginaw, MI 48607
Phone (989) 753-6000

Interoperability endpoints

  • Direct secure messaging: david.wittgens@direct.medfusion.com
  • Direct secure messaging: david.wittgens.1@27771.direct.athenahealth.com

Organizations & group practices 15

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.

View all 15

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": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1801025432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 NEWARK RD STE 200",
            "city": "IMLAY CITY",
            "state": "MI",
            "postal_code": "484449656",
            "telephone_number": "810-724-3201",
            "fax_number": "810-724-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 NEWARK RD STE 200",
            "city": "IMLAY CITY",
            "state": "MI",
            "postal_code": "484449656",
            "telephone_number": "810-724-3201",
            "fax_number": "810-724-4605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1180 Newfield Ave",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069051409",
            "country_code": "US",
            "telephone_number": "314-888-5233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITTGENS",
        "first_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-02",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301094800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4301094800",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.wittgens@direct.medfusion.com",
            "affiliation": "N",
            "address_1": "6800 Newark Rd Ste 200",
            "city": "Imlay City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484449656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Imlay City, MI

Sources for this page

Verify at the official NPI Registry.