Active NPI
David Machnacki, DO
- Family Medicine Physician
- Commerce TWP, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101014897
- Practice address
- 2455 Union Lake Rd
Suite 101
Commerce TWP, MI 48382-3554 - Phone
- (248) 360-6000
- Fax
- (248) 360-6040
- NPI assigned
- Jun 8, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101014897 | MI | Primary |
Addresses
Primary practice location
2455 Union Lake Rd
Suite 101
Commerce TWP, MI 48382-3554
Mailing address
2455 Union Lake Rd
Suite 101
Commerce Township, MI 48382-3596
Phone (248) 363-1491
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 700H228210 | Other | MI | BCBSM/BCN |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101014897 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VHS Physicians of Michigan | Current | Accepting new patients | |
| DMC Orthopedic Billing Associates LLC | Past | Accepting new patients | |
| Hospital Health Care Inc. | Family Medicine | Past | Accepting new patients |
Locations
2455 Union Lake Rd
Ste 101
Commerce Twp, MI 48382
Phone (248) 360-6000
3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227
401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
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.
-
dba DMC Medical Group
- Internal Medicine Physician
- Southfield, MI
- NPI 1073827101
-
dba DMC Billing Associates, LLC
- Orthopaedic Surgery Physician
- Detroit, MI
- NPI 1457387607
-
dba Clarkston Primary Care
- Internal Medicine Physician
- Pontiac, MI
- NPI 1609970359
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427068800000",
"number": "1982644803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2455 UNION LAKE RD",
"address_2": "SUITE 101",
"city": "COMMERCE TOWNSHIP",
"state": "MI",
"postal_code": "483823596",
"telephone_number": "248-363-1491",
"fax_number": "248-363-1493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2455 UNION LAKE RD",
"address_2": "SUITE 101",
"city": "COMMERCE TWP",
"state": "MI",
"postal_code": "483823554",
"telephone_number": "248-360-6000",
"fax_number": "248-360-6040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACHNACKI",
"first_name": "DAVID",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2015-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101014897",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM/BCN",
"identifier": "700H228210",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Commerce TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.