Justin David, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601007803 Issued in MI

Practice address

13850 E 12 Mile Rd
Warren, MI 48088-3730

Phone

(586) 552-4499

NPI assigned

Jul 7, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Physical Medicine and Rehabilitation PCGroup PAC ID 0143111658, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Residential Home Health Home health agency, Troy, MI, CCN 237459

Merit-based Incentive Payment System (MIPS)

Final score

97.52 of 100Reported as group

Quality

90.31

Promoting interoperability

98

Improvement activities

40

Cost

76.41

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: justin.david.1@13626.direct.athenahealth.com
• Direct secure messaging: jdavid1124560@direct.hfhs.org

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.

• Center for Physical Medicine & Rehabilitation PC

  • Specialist
  • Warren, MI
  • NPI 1003993312
  Medicare reassignment Care Compare group NPD

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

• Residential Home Health, LLC

  • Home Health Agency
  • Troy, MI
  • NPI 1992768550
  Care Compare affiliation

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1922450428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13850 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883730",
            "telephone_number": "586-552-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13850 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480883730",
            "telephone_number": "586-552-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "JUSTIN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-07",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David H Schulman DO PC
• David Lustig DO PC
• David M Kaminski DDS PC
• David M Kaminski DDS PC
• David Schwartz MD PC
• Alexandra Davidow, MA, LLPC, NCC
• Aaron Davis, PHARMD
• Debra Davis
• Ila C Davis
• Jessica Davis

• Physician Assistant in Warren, MI
• Providers in Warren, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.

Verify at the official NPI Registry.