Active NPI
Howard Fertel, D.O.
- Emergency Medical Services (Emergency Medicine) Physician
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 5101010677
- Practice address
- 16001 W 9 Mile Rd
Southfield, MI 48075-4818 - Phone
- (248) 849-3000
- NPI assigned
- May 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 5101010677 | MI | Primary |
Addresses
Primary practice location
16001 W 9 Mile Rd
Southfield, MI 48075-4818
Mailing address
4255 Elizabeth LN
Commerce Township, MI 48390-1306
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114441522 | Medicaid | MI | |
| 114441513 | Medicaid | MI | |
| HF010677 | Other | MI | BC/BS OF MICHIGAN |
| 114316542 | Medicaid | MI |
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
- Emergency Medicine
- Education
- Michigan State University College of Osteopathic Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6245 Inkster Rd
Garden City, MI 48135-4001
Phone (734) 458-3300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101010677 | MI | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihp Mi Emergency Medicine PLLC | Current | Accepting new patients | |
| Degara App, PLLC | Current | Accepting new patients | |
| Quality Care Physicians Group | Past | Accepting new patients | |
| Internal Medicine Solutions PLLC | Past | Accepting new patients | |
| Wellstreet Urgent Care of Michigan | Past | Accepting new patients |
Locations
1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000
6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300
401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
2601 Electric Ave
Port Huron, MI 48060
Phone (810) 216-1500
200 Hemlock St
Tawas City, MI 48763
Phone (989) 362-0153
35700 Warren Rd
Westland, MI 48185
Phone (313) 828-5000
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Garden City, MI
- NPI 1861147456
-
- Emergency Medicine Physician
- Lansing, MI
- NPI 1265976971
-
- Internal Medicine Physician
- Livonia, MI
- NPI 1932746245
-
- Emergency Medicine Physician
- Waterford, MI
- NPI 1114974912
-
- Non-Pharmacy Dispensing Site
- Troy, MI
- NPI 1649952052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416528000000",
"number": "1013964337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4255 ELIZABETH LN",
"city": "COMMERCE TOWNSHIP",
"state": "MI",
"postal_code": "483901306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16001 W 9 MILE RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754818",
"telephone_number": "248-849-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERTEL",
"first_name": "HOWARD",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-30",
"last_updated": "2014-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "MI",
"license": "5101010677",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114441522",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114441513",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF MICHIGAN",
"identifier": "HF010677",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114316542",
"state": "MI"
}
],
"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 Nov 21, 2014; 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.