Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daniel James Deporre, MD

Individual provider Internal Medicine Physician · NPI 1417453432

Daniel James Deporre, MD is an Internal Medicine in Stanford, California. Graduated from Wayne State University School of Medicine in 2018, 8 years ago. Practices with Stanford Health Care, a 3,085-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Michigan.

Years since qualifying
8
Trained at
Wayne State University School of Medicine
Licensed in
CA, MI
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 723-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2799 W Grand Blvd, Detroit, MI 48202-2608

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A185397 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301505391 (MI)

Record details

NPI number1417453432
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2018
Last updated in NPPESApril 18, 2024
Certification dateApril 18, 2024
Mailing address300 Pasteur Dr, Stanford, CA 94305-2200

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Stanford Health Care — 3085 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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