Active NPI
Michael D Ober, MD
- Ophthalmology Physician
- Southfield, MI
National Provider Identifier
1003976416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4301074191
- Practice address
- 29201 Telegraph Rd
Suite #606
Southfield, MI 48034 - Phone
- (248) 356-8610
- Fax
- (248) 356-6473
- NPI assigned
- Dec 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 4301074191 | MI | |
| Ophthalmology Physician | 207W00000X | 4301074191 | MI | Primary |
Addresses
Primary practice location
29201 Telegraph Rd
Suite #606
Southfield, MI 48034
Mailing address
29201 Telegraph Rd
Suite #606
Southfield, MI 48034
Phone (248) 356-8610
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180H262240 | Other | BLUE CROSS-BLUE CROSS | |
| MO074191 | Other | COMMERCIAL-COMMERCIAL NUMBER | |
| 478697910 | Medicaid | MI | |
| MO074191 | Other | CHAMPUS-CHAMPUS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Wayne State University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
29201 Telegraph Rd
Suite 606
Southfield, MI 48034-7649
Phone (248) 356-8610
Hospital & facility affiliations
- Straith Hospital for Special Surgery
- Beaumont Hospital Royal Oak
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.85 of 100
- Quality
- 97.17
- Promoting interoperability
- 98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harold Weiss MD&Mark Haimann MD&Joel Miller MD&Susan Malinowski MD | Ophthalmology | Current | Accepting new patients |
| Manhattan Eye Ear and Throat Hospital | Past | Accepting new patients |
Locations
29201 Telegraph Rd
Ste 606
Southfield, MI 48034
Phone (248) 356-8610
27301 Schoenherr Rd
Ste 101
Warren, MI 48088
Phone (586) 756-3800
Interoperability endpoints
- mober1143223@direct.hfhs.org
- michael.ober.1@11987.direct.athenahealth.com
- mober@retinas.intellechartdirect.net
- https://api.platform.athenahealth.com/11987/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- Southfield, MI
- NPI 1114099835
MI, Ophthalmology
-
- General Acute Care Hospital
- New York, NY
- NPI 1922169689
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southfield, MI
- NPI 1548268436
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615248000000",
"number": "1003976416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29201 TELEGRAPH RD",
"address_2": "SUITE #606",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "48034",
"telephone_number": "248-356-8610",
"fax_number": "248-356-6473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29201 TELEGRAPH RD",
"address_2": "SUITE #606",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "48034",
"telephone_number": "248-356-8610",
"fax_number": "248-356-6473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBER",
"first_name": "MICHAEL",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2021-03-09",
"certification_date": "2021-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "MI",
"license": "4301074191",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MI",
"license": "4301074191",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-BLUE CROSS",
"identifier": "180H262240",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL-COMMERCIAL NUMBER",
"identifier": "MO074191",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "478697910",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS-CHAMPUS",
"identifier": "MO074191",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.