Individual provider Active NPI

Michael J Hafran, M.D.

  • Family Medicine Physician
  • East Lansing, MI
National Provider Identifier
1003878000
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301505631 Issued in MI
Practice address
804 Service Rd Ste A225
East Lansing, MI 48824-7015
Phone
(517) 353-2562
Fax
(517) 353-2563
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301505631 MI Primary
Family Medicine Physician 207Q00000X 49922 WI

Addresses

Primary practice location

804 Service Rd Ste A225
East Lansing, MI 48824-7015

Mailing address

3003 W Good Hope Rd
Aurora Advanced Healthcare
Milwaukee, WI 53209-2042
Phone (414) 352-3100

Other practice location 1

3003 W Good Hope Rd
Aurora Advanced Healthcare
Milwaukee, WI 53209-2042
Phone (414) 352-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MI, CA, PA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20200731000833 FL Practitioner - Family Practice 4183726375 Reassigns benefits to 2 organizations
I20220203000531 MI Practitioner - Family Practice 4183726375
I20220628003491 CA Practitioner - Family PracticePractitioner - Internal Medicine 4183726375 Reassigns benefits to 3 organizations
I20221123000649 PA Practitioner - Family Practice 4183726375

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301505631MIMDFamily Medicine Physician
49922WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Assure Health Medical Group PA CurrentSince Jul 1, 2020 Accepting new patients
Msu Health Care Inc. Past Accepting new patients

Locations

2105 S Bascom Ave
Ste 245
Campbell, CA 95008
Phone (561) 476-0060

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

6001 Broken Sound Pkwy NW
Ste 418
Boca Raton, FL 33487
Phone (561) 699-3866

501 E Las Olas Blvd
Fort Lauderdale, FL 33301

501 E Las Olas Blvd
Ste 200300
Ft Lauderdale, FL 33301
Phone (561) 699-3866

4500 N State Road 7
Ste 102
Lauderdale Lakes, FL 33319
Phone (301) 541-7714

382 NE 191st St
Miami, FL 33179
Phone (305) 702-0185

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCJAED/Endpoint/GCJAED

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1003878000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 W GOOD HOPE RD",
            "address_2": "AURORA ADVANCED HEALTHCARE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532092042",
            "telephone_number": "414-352-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD STE A225",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-353-2562",
            "fax_number": "517-353-2563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3003 W Good Hope Rd",
            "address_2": "Aurora Advanced Healthcare",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532092042",
            "country_code": "US",
            "telephone_number": "414-352-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAFRAN",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301505631",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "49922",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.