Active NPI
Daniel David Martin, M.D.
- Otolaryngology Physician
- Saint Clair Shores, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 4301503926
- Practice address
- 21000 E 12 Mile Rd Ste 111
Saint Clair Shores, MI 48081-1156 - Phone
- (586) 779-7610
- Fax
- (586) 779-7685
- NPI assigned
- Apr 15, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Otolaryngology) Physician | 207YS0012X | 4301503926 | MI | |
| Otolaryngology Physician | 207Y00000X | 4301503926 | MI | Primary |
Addresses
Primary practice location
21000 E 12 Mile Rd Ste 111
Saint Clair Shores, MI 48081-1156
Mailing address
21000 E 12 Mile Rd Ste 111
Saint Clair Shores, MI 48081-1156
Phone (586) 779-7610
Other practice location 1
601 Elmwood Ave Box 629
Rochester, NY 14642-8629
Phone (585) 276-5181
Other practice location 2
11900 E 12 Mile Rd Ste 210
Warren, MI 48093-3490
Phone (586) 582-7100
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
- Otolaryngology
- Education
- Ohio State University College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11900 E 12 Mile Rd
Suite 210
Warren, MI 48093-3490
Phone (248) 936-0067
21000 E 12 Mile Rd
Suite 111
Saint Clair Shores, MI 48081-1156
Phone (586) 779-7610
22201 Moross Rd
Suite 214
Detroit, MI 48236-2169
Phone (313) 343-7110
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301503926 | MI | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health St. John Hospital | Otolaryngology | Current | Accepting new patients |
| Henry Ford Semi Medical Group | Current | Accepting new patients | |
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| Henry Ford Semi Medical Group | Current | Accepting new patients | |
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| University Otolaryngology Associates | Otolaryngology | Past | Accepting new patients |
| St. John Hospital | Past | Accepting new patients | |
| Ascension Macomb Oakland Hospital | Past | Accepting new patients |
Locations
22201 Moross Rd
Ste 214
Detroit, MI 48236
Phone (313) 343-7110
17770 Mack Ave
Grosse Pointe Shores, MI 48230
Phone (313) 882-1731
17900 23 Mile Rd
Ste 203
Macomb, MI 48044
Phone (586) 263-7400
21000 E 12 Mile Rd
Ste 111
St Clr Shores, MI 48081
Phone (586) 779-7610
30117 Schoenherr Rd
Ste 400
Warren, MI 48088
Phone (586) 552-4848
11900 E 12 Mile Rd
Ste 210
Warren, MI 48093
Phone (586) 558-4700
Interoperability endpoints
- dmartin760234@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.
-
dba St John North Shores Hospital
- Podiatrist
- Harrison Township, MI
- NPI 1043478910
-
- Endocrinology, Diabetes & Metabolism Physician
- Novi, MI
- NPI 1114133485
-
dba Henry Ford St. John Hospital
- Otolaryngology Physician
- Saint Clair Shores, MI
- NPI 1376820605
-
- Surgery Physician
- Detroit, MI
- NPI 1629272968
-
dba St John Hospital and Medical Center
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
-
dba Michigan Neuro-Ophthalmology & Oculoplastic Surgery
- Ophthalmology Physician
- Madison Heights, MI
- NPI 1114962461
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1649355918
-
- Otolaryngology Physician
- Rochester, NY
- NPI 1679518088
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. John Macomb Oakland Hospital-Warren Campus
- General Acute Care Hospital
- Warren, MI
- NPI 1124099858
-
dba St John Macomb Oakland - Oakland Center
- General Acute Care Hospital
- Madison Heights, MI
- NPI 1215139233
-
dba Henry Ford Health Macomb Hospital
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- General Acute Care Hospital
- Warren, MI
- NPI 1902842735
-
dba St John Hospital and Medical Center
- 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": "1460678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1902250921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21000 E 12 MILE RD STE 111",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480811156",
"telephone_number": "586-779-7610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21000 E 12 MILE RD STE 111",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480811156",
"telephone_number": "586-779-7610",
"fax_number": "586-779-7685"
}
],
"practiceLocations": [
{
"address_1": "601 Elmwood Ave Box 629",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146428629",
"country_code": "US",
"telephone_number": "585-276-5181",
"fax_number": "585-271-8552",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11900 E 12 Mile Rd Ste 210",
"address_purpose": "LOCATION",
"city": "Warren",
"state": "MI",
"postal_code": "480933490",
"country_code": "US",
"telephone_number": "586-582-7100",
"fax_number": "586-582-7101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "DANIEL",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-15",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0012X",
"taxonomy_group": "",
"desc": "Otolaryngology, Sleep Medicine",
"state": "MI",
"license": "4301503926",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MI",
"license": "4301503926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Clair Shores, MI
- Christine Louise Marossy, D.D.S.
- Taylor Nicole Marsh, AGACNP-BC
- Brittany Marshick, OTR/L
- Madeline Marsin
- Martin J Fraschetti, D.D.S., Family Dentistry P.C.
- Julianne Dolores Martin, P.T.
- Karyss Lyssue Martinez Cuevas, MD
- Meghan Martinovski, NP
- Mary Arnone Epoch Holistic Massage
- Sharon Kay Masek, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.