Active NPI
Daniel Bacal, M.D.
- Surgery Physician
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301068636
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020H263670 | Other | MI | BCBSM GROUP PIN# |
| 02-0824130-2 | Other | MI | BCBSM INDIVIDUAL PIN# |
| 4235319 | Medicaid | MI | |
| 17431 | Other | MI | MCARE INDIVIDUAL PIN# |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
- Corewell Health Wayne Hospital
- Beaumont Hospital - Taylor
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 16 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaumont Medical Group- Specialty Services | Surgery | Current | Accepting new patients |
| Oakwood Healthcare Inc | Current | Accepting new patients | |
| Oakwood Healthcare, Inc. | Current | Accepting new patients | |
| Oakwood Ambulatory, LLC | Current | Accepting new patients | |
| Oakwood Ambulatory LLC | Surgery | Current | Accepting new patients |
| Oakwood Healthcare, Inc | Surgery | Current | 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 | Past | 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
- 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.
-
- Surgery Physician
- Royal Oak, MI
- NPI 1578072906
-
- Diagnostic Radiology Physician
- Dearborn, MI
- NPI 1336174440
-
- Podiatrist
- Westland, MI
- NPI 1013157361
-
- Community/Retail Pharmacy
- Westland, MI
- NPI 1033128178
-
- Surgery Physician
- Dearborn, MI
- NPI 1861666265
-
- Vascular Surgery Physician
- Dearborn, MI
- NPI 1700841475
-
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
-
- Physical Medicine & Rehabilitation Physician
- Dearborn, MI
- NPI 1790959120
-
- Anatomic Pathology & Clinical Pathology Physician
- Gary, IN
- NPI 1740250075
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wayne, MI
- NPI 1295785285
-
- General Acute Care Hospital
- Taylor, MI
- NPI 1487605168
-
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.