Individual provider Active NPI

Daniel Bacal, M.D.

  • Surgery Physician
  • Dearborn, MI
National Provider Identifier
1801860705
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301068636 Issued in MI
Practice address
18181 Oakwood Blvd Ste 311
Dearborn, MI 48124
Phone
(313) 982-5288
Fax
(313) 996-7290
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301068636 MI Primary

Addresses

Primary practice location

18181 Oakwood Blvd Ste 311
Dearborn, MI 48124

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Phone (947) 522-1863

Other identifiers 4

IdentifierTypeStateIssuer
020H263670OtherMIBCBSM GROUP PIN#
02-0824130-2OtherMIBCBSM INDIVIDUAL PIN#
4235319MedicaidMI
17431OtherMIMCARE INDIVIDUAL PIN#

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dbacal115691@direct.beaumont.edu

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
I20050805000096 MI Practitioner - General Surgery 0446148613 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaumont Medical Group- Specialty ServicesGroup PAC ID 7214299866, 868 clinicians

Practice addresses (Care Compare)

18101 Oakwood Blvd
Dearborn, MI 48124-4089

18181 Oakwood Blvd
Suite 311
Dearborn, MI 48124-5031
Phone (313) 982-5288

28100 Grand River Ave
Farmington Hills, MI 48336-5970

33101 Annapolis St
Suite 100
Wayne, MI 48184-2405
Phone (734) 467-2670

33155 Annapolis St
Wayne, MI 48184-2405
Phone (734) 467-4000

6300 N Haggerty Rd
100 Beaumont Weight Control Ctr Canton
Canton, MI 48187-4472
Phone (734) 738-1900

Hospital & facility affiliations

  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020
  • Corewell Health Wayne Hospital Hospital, Wayne, MI, CCN 230142
  • Beaumont Hospital - Taylor Hospital, Taylor, MI, CCN 230270

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux16
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Medical Group- Specialty Services Surgery CurrentSince Aug 22, 2018 Accepting new patients
Oakwood Healthcare Inc CurrentSince Apr 1, 2014 Accepting new patients
Oakwood Healthcare, Inc. Current Accepting new patients
Oakwood Ambulatory, LLC CurrentSince Mar 1, 2008 Accepting new patients
Oakwood Ambulatory LLC Surgery CurrentSince Mar 1, 2008 Accepting new patients
Oakwood Healthcare, Inc Surgery CurrentSince Apr 1, 2014 Accepting new patients
Oakwood Group IX, LLC Surgery Past Accepting new patients
Oakwood Youth Programs, LLC Past Accepting new patients
Dearborn Surgical Associates P.C. Surgery PastSince Jan 1, 2004 Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients
Methodist Hospitals Pathology LLC Past Accepting new patients

Locations

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

6300 N Haggerty Rd
Ste 100
Canton, MI 48187
Phone (734) 738-1900

7300 N Canton Center Rd
Canton, MI 48187
Phone (734) 454-8001

18181 Oakwood Blvd
Ste 311
Dearborn, MI 48124
Phone (313) 271-8170

18101 Oakwood Blvd
Fl 1
Dearborn, MI 48124
Phone (313) 436-2898

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

18181 Oakwood Blvd
Ste 212
Dearborn, MI 48124
Phone (313) 438-7397

15500 Lundy Pkwy
Dearborn, MI 48126
Phone (313) 586-5011

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000

Interoperability endpoints

  • Direct secure messaging: dbacal1224070@epic00.shdirect.org

Organizations & group practices 11

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 4

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1801860705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849",
            "telephone_number": "947-522-1863",
            "fax_number": "947-522-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18181 OAKWOOD BLVD STE 311",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48124",
            "telephone_number": "313-982-5288",
            "fax_number": "313-996-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACAL",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301068636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM GROUP PIN#",
            "identifier": "020H263670",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM INDIVIDUAL PIN#",
            "identifier": "02-0824130-2",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4235319",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE INDIVIDUAL PIN#",
            "identifier": "17431",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dbacal115691@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "18181 Oakwood Blvd Ste 311",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.