NPIMap

Individual provider Active NPI

Michael Maceroni

  • Orthopaedic Surgery Physician
  • Saint Clair Shores, MI
National Provider Identifier
1003231796
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
5101025557 Issued in MI
Practice address
23829 Little Mack Ave Ste 100
Saint Clair Shores, MI 48080-1186
Phone
(586) 773-1300
Fax
(586) 773-1600
NPI assigned
Mar 4, 2014
Last updated
May 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 5101025557 MI Primary

Addresses

Primary practice location

23829 Little Mack Ave Ste 100
Saint Clair Shores, MI 48080-1186

Mailing address

23829 Little Mack Ave Ste 100
Saint Clair Shores, MI 48080-1186
Phone (586) 773-1300

Other practice location 1

22701 Hall Rd Ste 100
Macomb, MI 48042-5270
Phone (586) 416-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200608000250 MI Practitioner - Orthopedic Surgery 2961629910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Michigan State University College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Semi Medical GroupGroup PAC ID 0648180406, shared by 4 NPIs, 246 clinicians

Practice addresses (Care Compare)

17900 23 Mile Rd
Macomb, MI 48044-1161
Phone (313) 647-3900

23829 Little Mack Ave
Suite 100
Saint Clair Shores, MI 48080-1186
Phone (586) 773-1300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement22
Knee replacement21
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101025557MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Hospital Corporation CurrentSince Jun 1, 2020 Accepting new patients
Henry Ford Macomb Hospital Corporation Current Accepting new patients
St. Clair Orthopaedics and Sports Medicine PC Orthopaedic Surgery CurrentSince Sep 1, 2022 Accepting new patients
St Clair Orthopaedics and Sports Medicine PC Orthopaedic Surgery CurrentSince Sep 1, 2022 Accepting new patients
Henry Ford Macomb Hospital Corporation Orthopaedic Surgery CurrentSince Jun 1, 2020 Accepting new patients
Michigan Orthopedic & Spinal Surgery PLLC Orthopaedic Surgery PastSince Sep 1, 2011 Accepting new patients

Locations

30795 23 Mile Rd
Ste 209
Chesterfield, MI 48047
Phone (586) 421-6000

15520 19 Mile Rd
Ste 430
Clinton Twp, MI 48038
Phone (586) 228-6200

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

43251 Commons Dr
Clinton Twp, MI 48038
Phone (586) 286-0610

22701 Hall Rd
Ste 100
Macomb, MI 48042
Phone (586) 416-1300

23829 Little Mack Ave
Ste 100
St Clr Shores, MI 48080
Phone (586) 416-1300

12150 30 Mile Rd
Ste 105
Washington Twp, MI 48095
Phone (586) 336-7333

Interoperability endpoints

  • Direct secure messaging: mmaceroni@stclairortho.gwaydirect.com
  • Direct secure messaging: mmaceroni281533@direct.hfhs.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1003231796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23829 LITTLE MACK AVE STE 100",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801186",
            "telephone_number": "586-773-1300",
            "fax_number": "586-773-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23829 LITTLE MACK AVE STE 100",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801186",
            "telephone_number": "586-773-1300",
            "fax_number": "586-773-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22701 Hall Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Macomb",
            "state": "MI",
            "postal_code": "480425270",
            "country_code": "US",
            "telephone_number": "586-416-1300",
            "fax_number": "586-416-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACERONI",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-04",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101025557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.