Active NPI
Daniel Alexander Tim, M.D.
- Interventional Cardiology Physician
- Troy, MI
National Provider Identifier
1972990331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 4351039869
- Practice address
- 4600 Investment Dr Ste 200
Troy, MI 48098-6375 - Phone
- (248) 267-5050
- Fax
- (248) 267-5051
- NPI assigned
- Apr 22, 2015
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 57.026361 | OH | |
| Cardiovascular Disease Physician | 207RC0000X | 4351039869 | MI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Interventional Cardiology Physician | 207RI0011X | 4351039869 | MI | Primary |
Addresses
Primary practice location
4600 Investment Dr Ste 200
Troy, MI 48098-6375
Mailing address
26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Other practice location 1
39500 W 10 Mile Rd Ste 103
Novi, MI 48375-2947
Phone (248) 267-5050
Other practice location 2
15959 Hall Rd Ste 304
Macomb, MI 48044-5367
Phone (248) 267-5050
Other practice location 3
4550 Investment Dr Ste 250
Troy, MI 48098-6362
Phone (248) 267-5050
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dtim589175@direct.beaumont.edu | Direct |
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
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4600 Investment Dr
Suite 200
Troy, MI 48098-6375
Phone (248) 267-5050
Hospital & facility affiliations
- Beaumont Hospital Royal Oak
- Beaumont Hospital, Troy
- Beaumont Hospital - Dearborn
- Beaumont Hospital - Farmington Hills
- Beaumont Hospital - Grosse Pointe
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.37 of 100
- Quality
- 66.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.98
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 19 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57.026361 | OH | MD | Internal Medicine Physician |
| 4351039869 | MI | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaumont Medical Group- Specialty Services | Current | Accepting new patients | |
| William Beaumont Hospital | Past | Accepting new patients | |
| William Beaumont Hospital | Past | Accepting new patients |
Locations
29645 W 14 Mile Rd
Ste 200
Farmington Hills, MI 48334
Phone (248) 932-3700
28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320
28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000
3601 W 13 Mile Rd
Royal Oak, MI 48073
26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860
4600 Investment Dr
Ste 200
Troy, MI 48098
Phone (248) 267-5050
4550 Investment Dr
Ste 250
Troy, MI 48098
Phone (248) 267-5050
Interoperability endpoints
- dtim1259043@epic00.shdirect.org
- dtim589175@direct.beaumont.edu
Organizations & group practices 3
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.
-
- Surgery Physician
- Royal Oak, MI
- NPI 1578072906
-
- Physician Assistant
- Royal Oak, MI
- NPI 1164471983
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
-
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1972990331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26901 BEAUMONT BLVD STE 3D",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480333849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 INVESTMENT DR STE 200",
"city": "TROY",
"state": "MI",
"postal_code": "480986375",
"telephone_number": "248-267-5050",
"fax_number": "248-267-5051"
}
],
"practiceLocations": [
{
"address_1": "39500 W 10 Mile Rd Ste 103",
"address_purpose": "LOCATION",
"city": "Novi",
"state": "MI",
"postal_code": "483752947",
"country_code": "US",
"telephone_number": "248-267-5050",
"fax_number": "248-267-5051",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15959 Hall Rd Ste 304",
"address_purpose": "LOCATION",
"city": "Macomb",
"state": "MI",
"postal_code": "480445367",
"country_code": "US",
"telephone_number": "248-267-5050",
"fax_number": "248-267-5051",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4550 Investment Dr Ste 250",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "MI",
"postal_code": "480986362",
"country_code": "US",
"telephone_number": "248-267-5050",
"fax_number": "248-267-5051",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIM",
"first_name": "DANIEL",
"middle_name": "ALEXANDER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-22",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "57.026361",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "4351039869",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "MI",
"license": "4351039869",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dtim589175@direct.beaumont.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4600 Investment Dr Ste 200",
"city": "Troy",
"state": "MI",
"country_code": "US",
"postal_code": "480986375",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.