Individual provider Active NPI

Michael R Harbut, M.D., M.P.H., F.C.C.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Royal Oak, MI
National Provider Identifier
1033100292
Registry record updated Sep 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
MH0048645 Issued in MI
Practice address
118 N Washington Ave
Royal Oak, MI 48067-1751
Phone
(248) 547-9100
Fax
(248) 547-9336
NPI assigned
Nov 4, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X MH0048645 MI Primary

Addresses

Primary practice location

118 N Washington Ave
Royal Oak, MI 48067-1751

Mailing address

PO Box 112
Jenison, MI 49429-0112
Phone (231) 652-2500

Other identifiers 1

IdentifierTypeStateIssuer
263220210MedicaidMI

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
I20100312000012 MI Practitioner - Preventive MedicinePractitioner - Other (Physician) 0840325197 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MH0048645MIMDPreventive Medicine/Occupational Environmental Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Consultants in Sleep & Pulmonary Medicine PLLC CurrentSince May 26, 2016 Accepting new patients
Cardinal Home Physicians, PLLC Past Accepting new patients

Locations

29275 W 10 Mile Rd
Farmington Hills, MI 48336
Phone (248) 350-2722

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.

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788652800000",
    "number": "1033100292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494290112",
            "telephone_number": "231-652-2500",
            "fax_number": "616-837-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N WASHINGTON AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671751",
            "telephone_number": "248-547-9100",
            "fax_number": "248-547-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBUT",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "credential": "M.D., M.P.H., F.C.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2026-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "MI",
            "license": "MH0048645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263220210",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.