NPIMap

Individual provider Active NPI

Daniel A Drake, MD

  • Family Medicine Physician
  • Midland, MI
National Provider Identifier
1871021147
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301505192 Issued in MI
Practice address
4611 Campus Ridge Dr
Midland, MI 48640-9533
Phone
(989) 839-3500
Fax
(989) 839-3344
NPI assigned
May 31, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 4301505192 MI Primary

Addresses

Primary practice location

4611 Campus Ridge Dr
Midland, MI 48640-9533

Mailing address

75 Buschlen Rd
Bad Axe, MI 48413-9177
Phone (989) 623-9300

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
I20210723002660 MI Practitioner - Family Practice 2567732084 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Human Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scheurer HospitalGroup PAC ID 1456242296, shared by 10 NPIs, 49 clinicians

Practice addresses (Care Compare)

75 Buschlen Rd
Bad Axe, MI 48413-9177
Phone (989) 623-9300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301505192MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scheurer Hospital CurrentSince Aug 2, 2021 Accepting new patients
Scheurer Hospital Family Medicine CurrentSince Aug 2, 2021 Accepting new patients
Scheurer Hospital Current Accepting new patients
Scheurer Hospital Current Accepting new patients
Scheurer Hospital Past Accepting new patients
Mymichigan Medical Center Midland Family Medicine PastSince Jul 24, 2022 Accepting new patients
Scheurer Hospital Past Accepting new patients
Mymichigan Medical Center Midland PastSince Jul 24, 2022 Accepting new patients
Scheurer Hospital Past Accepting new patients

Locations

75 Buschlen Rd
Bad Axe, MI 48413
Phone (989) 453-7301

108 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-7301

168 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-2141

170 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-3223

Interoperability endpoints

  • Direct secure messaging: ddrake47799@direct.covenanthealthcare.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1871021147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BUSCHLEN RD",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484139177",
            "telephone_number": "989-623-9300",
            "fax_number": "989-269-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 CAMPUS RIDGE DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486409533",
            "telephone_number": "989-839-3500",
            "fax_number": "989-839-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "DANIEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-31",
        "last_updated": "2022-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301505192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.