NPIMap

Individual provider Active NPI

Daniel Aaron Rontal, MD

  • Otolaryngology Physician
  • Royal Oak, MI
National Provider Identifier
1831152610
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
4301076001 Issued in MI
Practice address
30701 Woodward Ave Ste 200
Royal Oak, MI 48073-0990
Phone
(248) 737-4030
Fax
(248) 307-7873
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 4301076001 MI Primary

Addresses

Primary practice location

30701 Woodward Ave Ste 200
Royal Oak, MI 48073-0990

Mailing address

30701 Woodward Ave Ste 200
Royal Oak, MI 48073-0990
Phone (248) 737-4030

Other identifiers 2

IdentifierTypeStateIssuer
4724214MedicaidMI
C10239OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050804000094 MI Practitioner - Otolaryngology 1355370941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Perelman School of Med at the University of Pennsylvania, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakland Medical Services PCGroup PAC ID 5597793265, 2 clinicians

Practice addresses (Care Compare)

30701 Woodward Ave
Suite 200
Royal Oak, MI 48073-0990
Phone (248) 737-4030

3555 W 13 Mile Rd
Suite 200
Royal Oak, MI 48073-6710
Phone (248) 737-4030

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151
  • Surgeons Choice Medical Center Hospital, Southfield, MI, CCN 230301
  • Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029

Merit-based Incentive Payment System (MIPS)

Final score
81.56 of 100Reported as individual
Quality
73.02
Promoting interoperability
88
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301076001MIMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oakland Medical Services, P.C. Otolaryngology CurrentSince Aug 1, 2005 Accepting new patients
Lakeshore Ear Nose and Throat Center PC Otolaryngology Past Accepting new patients

Locations

30701 Woodward Ave
Ste 200
Royal Oak, MI 48073
Phone (248) 288-9333

3555 W 13 Mile Rd
Ste 200
Royal Oak, MI 48073
Phone (248) 254-8204

Interoperability endpoints

  • Direct secure messaging: daniel.rontal.1@17789.direct.athenahealth.com

Organizations & group practices 2

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 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1831152610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30701 WOODWARD AVE STE 200",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730990",
            "telephone_number": "248-737-4030",
            "fax_number": "248-307-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30701 WOODWARD AVE STE 200",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730990",
            "telephone_number": "248-737-4030",
            "fax_number": "248-307-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONTAL",
        "first_name": "DANIEL",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301076001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4724214",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "C10239",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.