Individual provider Active NPI

Daryl E Warder, MD

  • Neurological Surgery Physician
  • Kalamazoo, MI
National Provider Identifier
1942278106
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
4301087085 Issued in MI
Practice address
601 John St
Ste M124, Bronson Neuroscience Center
Kalamazoo, MI 49007-5341
Phone
(269) 341-7500
Fax
(269) 341-7540
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 18902 ND
Neurological Surgery Physician 207T00000X 4301087085 MI Primary

Addresses

Primary practice location

601 John St
Ste M124, Bronson Neuroscience Center
Kalamazoo, MI 49007-5341

Mailing address

601 John St
Box 42
Kalamazoo, MI 49007-5341
Phone (269) 341-7500

Other identifiers 2

IdentifierTypeStateIssuer
C2184OtherMIRAILROAD MEDICARE
4825217MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson Healthcare Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, ND, SD3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20060220000149 MI Practitioner - Neurosurgery 3476568072 Reassigns benefits to 2 organizations
I20221230001851 ND Practitioner - Neurosurgery 3476568072 Reassigns benefits to 1 organization
I20250128004753 SD Practitioner - Neurosurgery 3476568072 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Johns Hopkins University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acute Care Surgery of South Dakota PCGroup PAC ID 5698195030, 67 clinicians
Innovis Health LLCGroup PAC ID 9931298155, 561 clinicians
Bronson Methodist HospitalGroup PAC ID 0244148633, 721 clinicians

Practice addresses (Care Compare)

2805 5TH St
Rapid City, SD 57701-6003
Phone (605) 646-0953

3000 32ND Ave S
Fargo, ND 58103-6132
Phone (701) 364-8000

601 John St
Suite 124
Kalamazoo, MI 49007-5377
Phone (269) 341-7500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18902NDMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Rapid City Hospital Inc CurrentSince Nov 22, 2024 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Jan 1, 2015 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Jan 1, 2015 Accepting new patients
Patholgy Services of Kalamazoo, PC Current Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Bronson Methodist Hospital Neurological Surgery CurrentSince Jan 1, 2006 Accepting new patients
Innovis Health, LLC Current Accepting new patients
Innovis Health LLC CurrentSince Dec 23, 2022 Accepting new patients
Acute Care Surgery of South Dakota PC CurrentSince Jun 1, 2025 Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Nov 22, 2024 Accepting new patients
United Regional Health Care System Inc Current Accepting new patients
Innovis Health LLC CurrentSince Dec 23, 2022 Accepting new patients
Adult and Pediatric Neurosurgery Neurological Surgery Past Accepting new patients

Locations

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

601 John St
Ste M-273
Kalamazoo, MI 49007
Phone (269) 381-0180

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

601 John St
#42
Kalamazoo, MI 49007
Phone (269) 341-7806

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

1702 University Dr S
Fargo, ND 58103
Phone (701) 364-4222

3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

2805 5th St
Rapid City, SD 57701
Phone (605) 719-5650

677 Cathedral Dr
Ste 310
Rapid City, SD 57701
Phone (605) 755-6720

Interoperability endpoints

  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • Direct secure messaging: dwarder73099@unitedregional.medalliesdirect.net
  • Direct secure messaging: direct@direct.bronsonhg.org
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1942278106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 JOHN ST",
            "address_2": "BOX 42",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341",
            "telephone_number": "269-341-7500",
            "fax_number": "269-341-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 JOHN ST",
            "address_2": "STE M124, BRONSON NEUROSCIENCE CENTER",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341",
            "telephone_number": "269-341-7500",
            "fax_number": "269-341-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDER",
        "first_name": "DARYL",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "ND",
            "license": "18902",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "4301087085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "C2184",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4825217",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "affiliationName": "Bronson Healthcare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.