DANIEL T EITZMAN (MD) – Cardiovascular Disease Physician, NPI 1073698809

DANIEL T EITZMAN (MD) is a healthcare provider. based in Ann arbor, Michigan. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE, INTERVENTIONAL CARDIOLOGY. They hold the professional credentials MD. They hold a License No. 4301053224 (MI). The NPI Number for DANIEL T EITZMAN (MD) is 1073698809

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL T EITZMAN (MD)
NPI
1073698809
Phone
(734) 647-5299
Address
3621 S STATE ST
Enumeration Date
27 October 2006
Last Update Date
10 December 2019

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8882871082
Graduation Year
1988 (38 years ago)
PAC ID
4284762576
Group Practice PAC ID
3779496856
Professional Enrollment ID
I20100506000630
Address ID
MI481092700AN4270XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,221 CARDIOVASCULAR DISEASE (CARDIOLOGY) in MI

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Provider Addresses for DANIEL T EITZMAN (MD)

  • South State Street, Ann Arbor, Washtenaw County, Michigan, 48108-1774, United States

    ANN ARBOR, MI 481081633

    Phone: (734) 647-5299

    Type: Mailing

  • Mott Children's Hospital and Von Voigtlander Women's Hospital, 1500, East Medical Center Drive, Ann Arbor, Washtenaw County, Michigan, 48109, United States

    3RD FLOOR TAUBMAN CTR RECP C

    ANN ARBOR, MI 481095644

    Phone: (734) 647-7321

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-05-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100506000630ICardiovascular Disease (Cardiology)MITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2,3611,833$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3230$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1912$0
View full utilization report →

Insurance plans in this area (ZIP 48108)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779496856View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YFL
Physical Medicine And RehabilitationMI
A N E S T H E S I O L O G YMI
Internal Medicine, Pediatric MedicineIL
-MI
Physician AssistantMI

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Frequently asked questions

How do I look up DANIEL T EITZMAN (MD) by NPI?
Use NPI 1073698809 when you need to reference DANIEL T EITZMAN (MD) in forms, claims, or directories.
Is DANIEL T EITZMAN (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DANIEL T EITZMAN (MD)?
The page reflects Cardiovascular Disease Physician for DANIEL T EITZMAN (MD). Clinical services aligned with this taxonomy classification.
Where is DANIEL T EITZMAN (MD)'s primary listing?
We display Ann Arbor, Michigan because that is what the record indicates for DANIEL T EITZMAN (MD).
Is DANIEL T EITZMAN (MD) a real provider?
This page reflects official NPPES data for NPI 1073698809. Always confirm identity and privileges with the practice and licensing boards.

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