DR. DANIEL MACCOURTNEY (MD) – Internal Medicine Physician, NPI 1104405042
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,232 INTERNAL MEDICINE in MI
Provider Addresses for DR. DANIEL MACCOURTNEY (MD)
22201 Moross Rd Ste 50
Detroit, MI 482362166
Phone: (313) 343-7774
Fax: (313) 343-8747
Type: Location
2900 Collins Rd
Lansing, MI 48910
Phone: (517) 975-6000
Type: Location
3955 PATIENT CARE DR STE A
LANSING, MI 489114271
Phone: (517) 374-7600
Fax: (855) 495-5457
Type: Mailing
22201 MOROSS RD STE 50
DETROIT, MI 482362166
Phone: (313) 343-7774
Fax: (313) 343-8747
Type: Mailing
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: 2024-07-22
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240722002524 | I | Internal Medicine | MI | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48236)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| - | MI | |
| Physician Assistant | MI | |
| Osteopathic Manipulative Medicine | MI | |
| Internal Medicine | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| Internal Medicine | MI | |
| - | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI |
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