DANIEL S TISMAL (MD) – Hospitalist Physician, NPI 1477867174

DANIEL S TISMAL (MD) is a healthcare provider. based in Salt lake city, Utah. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 4301097214 (MI). The NPI Number for DANIEL S TISMAL (MD) is 1477867174

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL S TISMAL (MD)
NPI
1477867174
Phone
(904) 202-1032
Address
PO BOX 45443
Enumeration Date
5 August 2010
Last Update Date
6 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7275107227
Graduation Year
2006 (20 years ago)
PAC ID
4587893300
Group Practice PAC ID
6002300126
Professional Enrollment ID
I20210915000964
Address ID
FL320632103MA159XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:15State licenses:2Digital endpointsOther names

1,230 HOSPITALIST in MI

Provider Addresses for DANIEL S TISMAL (MD)

  • PO BOX 45443

    SALT LAKE CITY, UT 841450443

    Phone: (904) 202-1032

    Fax: (904) 376-4104

    Type: Mailing

  • 100 MICHIGAN ST NE

    MC845

    GRAND RAPIDS, MI 495032560

    Phone: (616) 486-6790

    Fax: (616) 486-6702

    Type: Mailing

  • 212 S SULLIVAN AVE

    FREMONT, MI 494121548

    Phone: (231) 924-3300

    Type: Location

  • 820 PRUDENTIAL DR STE 304

    JACKSONVILLE, FL 322078205

    Phone: (904) 202-3860

    Fax: (904) 202-3846

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $609.

Total Amount is formed as General ($609) + Research ($0) + Ownership ($0) = $609.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: PFIZER INC. ($128).

Total Amount

$609

General + Research + Ownership

Payments

28

Total payment records

General Amount

$609

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2021-09-15

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
I20210915000964IHospitalistFLTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes858416$0
99239Hospital discharge day management, more than 30 minutes324319$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7171$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes5333$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4141$0
View full utilization report →

Insurance plans in this area (ZIP 84145)

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Provider's Procedures

DANIEL S TISMAL (MD) performs procedures in HOSPITALIST. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEMI93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report6760

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: 6002300126View full group profile
NameSpecialtyState
Internal Medicine, HospitalistFL

Reviews

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Frequently asked questions

Does DANIEL S TISMAL (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DANIEL S TISMAL (MD) uses 1477867174.
Is DANIEL S TISMAL (MD) still practicing?
DANIEL S TISMAL (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes DANIEL S TISMAL (MD)?
For research purposes, treat DANIEL S TISMAL (MD) as Hospitalist Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DANIEL S TISMAL (MD) on a map?
Expect Salt Lake City, Utah as a primary anchor for DANIEL S TISMAL (MD) unless the record lists multiple sites.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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