Individual provider Active NPI

Mark D Mackey, M.D

  • Orthopaedic Surgery Physician
  • W Bloomfield, MI
National Provider Identifier
1003890187
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MM059872 Issued in MI
Practice address
6621 W Maple Rd
W Bloomfield, MI 48322-3004
Phone
(248) 661-4700
Fax
(248) 661-6210
NPI assigned
Dec 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2009

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 MM059872 MI Primary

Addresses

Primary practice location

6621 W Maple Rd
W Bloomfield, MI 48322-3004

Mailing address

4158 Southmoor LN
W Bloomfield, MI 48323-3127
Phone (248) 626-1874

Other identifiers 1

IdentifierTypeStateIssuer
3410648-10MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101015000963 MI Practitioner - Orthopedic Surgery 6002846888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Michigan Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHS Physicians of MichiganGroup PAC ID 8921289760, 219 clinicians
Premier Therapy Centers, IncGroup PAC ID 5092605717, 140 clinicians

Practice addresses (Care Compare)

1 Wiliam Carls Dr
Commerce Township, MI 48382-2201

33010 Northwestern Hwy
West Bloomfield, MI 48322-3634

3901 Beaubien 1St Floor
Detroit, MI 48201-2119
Phone (313) 745-5227

3901 Beaubien St
Detroit, MI 48201-2119

Hospital & facility affiliations

  • At Home Health Services, LLC Home health agency, Commerce Township, MI, CCN 237618
  • Parc Home Care Home health agency, Farmington Hills, MI, CCN 239272
  • Custom Home Health Home health agency, Troy, MI, CCN 237707
  • Huron Valley-Sinai Hospital Hospital, Commerce Township, MI, CCN 230277
  • Rehabilitation Institute of Michigan Inpatient rehabilitation facility, Detroit, MI, CCN 233027

Merit-based Incentive Payment System (MIPS)

Final score
90.26 of 100Reported as group
Quality
64.16
Promoting interoperability
100
Improvement activities
40
Cost
73.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement28
Knee replacement26
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MM059872MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Physicians of Michigan CurrentSince Jun 30, 2011 Accepting new patients
Kamil Orthopaedic Group PC Orthopaedic Surgery PastSince Aug 1, 1997 Accepting new patients

Locations

1 William Carls Dr
Ste 120
Commerce Twp, MI 48382
Phone (248) 937-4947

2455 Union Lake Rd
Ste 101
Commerce Twp, MI 48382
Phone (248) 360-6000

1 William Carls Dr
Ste 230
Commerce Twp, MI 48382
Phone (248) 360-4507

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

6621 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 661-4700

Interoperability endpoints

  • Direct secure messaging: mark.mackey.1@9704.direct.athenahealth.com
  • Direct secure messaging: mmackey2@direct.dmc.org

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261094400000",
    "number": "1003890187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4158 SOUTHMOOR LN",
            "city": "W BLOOMFIELD",
            "state": "MI",
            "postal_code": "483233127",
            "telephone_number": "248-626-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6621 W MAPLE RD",
            "city": "W BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223004",
            "telephone_number": "248-661-4700",
            "fax_number": "248-661-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "MARK",
        "middle_name": "D",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2009-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "MM059872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3410648-10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in W Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.