Active NPI
Michael J Mahon, D.O.
- Dermatology Physician
- Farmington Hills, MI
National Provider Identifier
1013904549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 5101006141
- Practice address
- 21141 Middlebelt Rd
Farmington Hills, MI 48336-5516 - Phone
- (248) 477-7022
- Fax
- (248) 477-9370
- NPI assigned
- Sep 30, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 5101006141 | MI | Primary |
Addresses
Primary practice location
21141 Middlebelt Rd
Farmington Hills, MI 48336-5516
Mailing address
21141 Middlebelt Rd
Farmington Hills, MI 48336-5516
Phone (248) 477-7022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0756303894 | Other | MI | BCBS |
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
- Dermatology
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1969
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
21141 Middlebelt Rd
Farmington Hills, MI 48336-5516
Phone (248) 477-7022
Hospital & facility affiliations
- Beaumont Hospital - Farmington Hills
Merit-based Incentive Payment System (MIPS)
- Final score
- 44.58 of 100
- Quality
- 53.79
- Promoting interoperability
- 0
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 25 |
| Removal of skin lesions | 1464 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 106 |
| Skin biopsy | 253 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101006141 | MI | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael Mahon D O PC | Dermatology | Current | Accepting new patients |
Locations
21141 Middlebelt Rd
Farmington Hills, MI 48336
Phone (248) 476-4295
Organizations & group practices 1
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.
-
- Dermatology Physician
- Farmington Hills, MI
- NPI 1013183052
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209513600000",
"number": "1013904549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21141 MIDDLEBELT RD",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483365516",
"telephone_number": "248-477-7022",
"fax_number": "248-477-9370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21141 MIDDLEBELT RD",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483365516",
"telephone_number": "248-477-7022",
"fax_number": "248-477-9370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHON",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2008-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MI",
"license": "5101006141",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0756303894",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.