Active NPI
Donald Neal, CRNA
- Anesthesiology Physician
- Bingham Farms, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 4704136409
- Practice address
- 30200 Telegraph Rd
Suite 220
Bingham Farms, MI 48025-4502 - Phone
- (248) 258-5058
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 4704136409 | MI | Primary |
Addresses
Primary practice location
30200 Telegraph Rd
Suite 220
Bingham Farms, MI 48025-4502
Mailing address
20807 Revere St
St Clair Shores, MI 48080-1124
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104846914 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22101 Moross Rd
Detroit, MI 48236-2148
Phone (313) 343-4000
28963 Little Mack Ave
Suite 103
Saint Clair Shores, MI 48081-3017
Phone (586) 447-5110
Hospital & facility affiliations
- Henry Ford Health St John Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Michigan Aas LLC | Anesthesiology | Current | Accepting new patients |
| Eastside Group LLC | Anesthesiology | Current | Accepting new patients |
| Michigan Crnas Staffing LLC | Anesthesiology | Current | Accepting new patients |
| Novi Aas LLC | Anesthesiology | Current | Accepting new patients |
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| Northstar Anesthesia of Michigan II PC | Anesthesiology | Current | Accepting new patients |
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| Blue Water Anesthesia Consultants, PC | Anesthesiology | Past | Accepting new patients |
Locations
7915 Solutions Ctr Dr
Chicago, IL 60677
43475 Dalcoma Dr
Clinton Twp, MI 48038
Phone (586) 263-5043
17000 Executive Plaza Dr
Ste 301
Dearborn, MI 48126
Phone (313) 408-6613
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
4024 Park East Ct SE
Grand Rapids, MI 49546
Phone (231) 592-3102
3800 Centennial Dr
Grass Lake, MI 49240
Phone (517) 701-3100
3400 E Jolly Rd
Lansing, MI 48910
Phone (517) 272-1063
1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033
17700 23 Mile Rd
Ste 250
Macomb, MI 48044
Phone (586) 416-7500
1030 N Monroe St
Ste 2
Monroe, MI 48162
Phone (734) 682-3309
26750 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 662-1500
43422 W Oaks Dr
Novi, MI 48377
Phone (248) 229-4658
25500 Meadowbrook Rd
Ste 110
Novi, MI 48375
Phone (248) 477-0220
28963 Little Mack Ave
Ste 103
St Clr Shores, MI 48081
Phone (586) 447-5110
28963 Little Mack Ave
Ste 10
St Clr Shores, MI 48081
Phone (586) 447-5110
1560 E Maple Rd
#100
Troy, MI 48083
Phone (248) 817-2001
5504 E 12 Mile Rd
Warren, MI 48092
Phone (586) 439-6242
Interoperability endpoints
- dneal1142770@direct.hfhs.org
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Saint Clair Shores, MI
- NPI 1235365289
-
- Certified Registered Nurse Anesthetist
- Detroit, MI
- NPI 1598896995
-
- Anesthesiology Physician
- Novi, MI
- NPI 1851666424
-
- Anesthesiology Physician
- Novi, MI
- NPI 1598176919
-
- Anesthesiology Physician
- Novi, MI
- NPI 1295149227
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
-
- Anesthesiology Physician
- Clinton Township, MI
- NPI 1134437684
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801854013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20807 REVERE ST",
"city": "ST CLAIR SHORES",
"state": "MI",
"postal_code": "480801124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30200 TELEGRAPH RD",
"address_2": "SUITE 220",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480254502",
"telephone_number": "248-258-5058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "DONALD",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4704136409",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104846914",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bingham Farms, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.