Active NPI
David Bruce Tukel, M.D.
- Ophthalmology Physician
- Dearborn, MI
National Provider Identifier
1922079995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4301051121
- Practice address
- 1922 Monroe St
Dearborn, MI 48124-2917 - Phone
- (313) 274-7540
- Fax
- (313) 274-7544
- NPI assigned
- Jan 30, 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 4301051121 | MI | Primary |
Addresses
Primary practice location
1922 Monroe St
Dearborn, MI 48124-2917
Mailing address
1922 Monroe St
Dearborn, MI 48124-2917
Phone (313) 274-7540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2751348 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | tecdearborn.com | Other |
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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75.03 of 100
- Quality
- 85.46
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 31.32
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Sky Vision Eye Care, PC | Ophthalmology | Current | Accepting new patients |
| Blue Sky Vision Eye Care, P.C | Ophthalmology | Current | Accepting new patients |
Locations
19335 Allen Rd
Brownstown Twp, MI 48183
Phone (734) 479-5580
1922 Monroe St
Dearborn, MI 48124
Phone (313) 274-7540
750 E Beltline Ave NE
Grand Rapids, MI 49525
Phone (616) 588-6506
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- david.tukel.p1@direct.grophthalmology.nextgenshare.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.
-
- Ophthalmology Physician
- Grand Rapids, MI
- NPI 1801977202
-
- Ophthalmology Physician
- Dearborn, MI
- NPI 1316675598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596067200000",
"number": "1922079995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1922 MONROE ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242917",
"telephone_number": "313-274-7540",
"fax_number": "313-274-7544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1922 MONROE ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242917",
"telephone_number": "313-274-7540",
"fax_number": "313-274-7544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUKEL",
"first_name": "DAVID",
"middle_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2020-07-30",
"certification_date": "2020-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MI",
"license": "4301051121",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2751348",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "tecdearborn.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "website",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "website",
"address_1": "1922 Monroe St",
"city": "Dearborn",
"state": "MI",
"country_code": "US",
"postal_code": "481242917",
"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 Jul 30, 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.