Organization Active NPI

Concerto Medical Group of Michigan, P.C.

  • General Practice Physician
  • Detroit, MI
National Provider Identifier
1033575030
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CONCERTO MEDICAL GROUP OF MICHIGAN, P.C.
Practice address
7430 2ND Ave
Suite 210
Detroit, MI 48202-2739
Phone
(313) 748-4200
NPI assigned
Jan 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Authorized official

Name
Dr. Robert Levine, MD
Title
President
Phone
(313) 748-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

7430 2ND Ave
Suite 210
Detroit, MI 48202-2739

Mailing address

PO Box 809393
Chicago, IL 60680-9393
Phone (313) 748-4200

National Provider Directory

National Provider Directory

Locations

2030 Main St
Ste 600
Irvine, CA 92614
Phone (919) 537-3400

25343 Van Dyke Ave
Center Line, MI 48015
Phone (586) 261-2500

NPI Registry JSON

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1033575030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 809393",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606809393",
            "telephone_number": "313-748-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 2ND AVE",
            "address_2": "SUITE 210",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022739",
            "telephone_number": "313-748-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCERTO MEDICAL GROUP OF MICHIGAN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-748-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.