Active NPI
Daniel Agrusa, AU.D.
- Audiologist
- Macomb, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1601000585
- Practice address
- 49306 Flint CT.
Macomb, MI 48044 - Phone
- (586) 524-1909
- NPI assigned
- Jul 11, 2011
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1601000585 | MI | Primary |
Addresses
Primary practice location
49306 Flint CT.
Macomb, MI 48044
Mailing address
49306 Flint CT.
Macomb, MI 48044
Phone (586) 524-1909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111104000141 | MI | Practitioner - Qualified Audiologist | 8224201348 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1601000585 | MI | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Services Company USA, LLC | Audiologist | Current | Accepting new patients |
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| Henry Ford Health St. John Hospital | Current | Accepting new patients | |
| Audiology Services Company USA, LLC | Current | Accepting new patients | |
| Lakeshore Ear Nose and Throat Center PC | Past | Accepting new patients |
Locations
43750 Garfield Rd
Bldg B
Clinton Twp, MI 48038
Phone (248) 620-0044
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
134 W University Dr
Ste 203
Rochester, MI 48307
Phone (248) 608-8881
30475 Woodward Ave
Royal Oak, MI 48073
Phone (248) 288-0440
21000 E 12 Mile Rd
Ste 111
St Clr Shores, MI 48081
Phone (586) 779-7610
113 E Long Lake Rd
Ste B
Troy, MI 48085
Phone (248) 435-6811
4835 Haggerty Rd
West Bloomfield, MI 48323
Phone (248) 356-7773
2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 529-7120
Organizations & group practices 6
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.
-
- Hearing and Speech Clinic/Center
- Somerset, NJ
- NPI 1033585302
Audiologist, MI
-
- Social Worker
- Detroit, MI
- NPI 1114366333
-
- Hearing and Speech Clinic/Center
- Melbourne, FL
- NPI 1902318108
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
-
- Otolaryngology Physician
- Saint Clair Shores, MI
- NPI 1033202023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310342400000",
"number": "1962790097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49306 FLINT CT.",
"city": "MACOMB",
"state": "MI",
"postal_code": "48044",
"telephone_number": "586-524-1909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49306 FLINT CT.",
"city": "MACOMB",
"state": "MI",
"postal_code": "48044",
"telephone_number": "586-524-1909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGRUSA",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-11",
"last_updated": "2011-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MI",
"license": "1601000585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macomb, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.