Individual provider Active NPI

David Leonard Nadolski, M.D.

  • Internal Medicine Physician
  • Midland, MI
National Provider Identifier
1982641098
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301044324 Issued in MI
Practice address
5912 Eastman Ave
Midland, MI 48640-6839
Phone
(989) 832-6400
Fax
(989) 832-3663
NPI assigned
May 31, 2006
Last updated
Dec 15, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301044324 MI Primary

Addresses

Primary practice location

5912 Eastman Ave
Midland, MI 48640-6839

Mailing address

5912 Eastman Ave
Midland, MI 48640-6839
Phone (989) 832-6400

Other identifiers 11

IdentifierTypeStateIssuer
110042864OtherPALMETTO GBA
1483761MedicaidMI
3254131MedicaidMI
602960800OtherU S DOL - MIMA
110E610541OtherMIBLUE CARE NETWORK
611920000OtherUS DOL - NB
0988691OtherHEALTH PLUS
1105610371OtherMIBLUE CROSS
110125037OtherPALMETTO GBA - NB
01002151OtherHEALTH PLUS
1105610371OtherMIBLUE CARE NETWORK

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050105000067 MI Practitioner - Internal Medicine 0042200511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 Houghton Ave
Saginaw, MI 48602-5303
Phone (989) 583-6800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.39 of 100Reported as apm
Quality
73.44
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saginaw Cooperative Hospitals, Inc Internal Medicine CurrentSince Apr 1, 2010 Accepting new patients
Saginaw Cooperative Hospital Inc Internal Medicine CurrentSince Apr 1, 2010 Accepting new patients
Saginaw Cooperative Hospitals, Inc Past Accepting new patients

Locations

1000 Houghton Ave
Saginaw, MI 48602
Phone (989) 583-6800

1015 S Washington Ave
Saginaw, MI 48601
Phone (989) 754-3289

5421 Colony Dr N
Saginaw, MI 48638
Phone (989) 790-3141

Interoperability endpoints

  • Direct secure messaging: dnadolski14565@direct.covenanthealthcare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1982641098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5912 EASTMAN AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406839",
            "telephone_number": "989-832-6400",
            "fax_number": "989-832-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5912 EASTMAN AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406839",
            "telephone_number": "989-832-6400",
            "fax_number": "989-832-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADOLSKI",
        "first_name": "DAVID",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301044324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "110042864",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1483761",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3254131",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U S DOL - MIMA",
            "identifier": "602960800",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "110E610541",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DOL - NB",
            "identifier": "611920000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "0988691",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1105610371",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA - NB",
            "identifier": "110125037",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "01002151",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "1105610371",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.