NPIMap

Individual provider Active NPI

Miles Ross Neumann, D.O.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Southfield, MI
National Provider Identifier
1063867356
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
5101026170 Issued in MI
Practice address
29201 Telegraph Rd Ste 500
Southfield, MI 48034-7648
Phone
(248) 569-5985
NPI assigned
Apr 25, 2016
Last updated
Jun 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X 5101022208 MI
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 5101026170 MI Primary

Addresses

Primary practice location

29201 Telegraph Rd Ste 500
Southfield, MI 48034-7648

Mailing address

29201 Telegraph Rd Ste 500
Southfield, MI 48034-7648
Phone (248) 569-5985

Other identifiers 2

IdentifierTypeStateIssuer
5101022208OtherMIMICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
5101026170OtherMIMICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210426002562 MI Practitioner - Otolaryngology 4385937713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Michigan State University College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ear Nose and Throat Consultants PCGroup PAC ID 4284604174, 30 clinicians

Practice addresses (Care Compare)

29201 Telegraph Rd
Suite 500
Southfield, MI 48034-7648
Phone (248) 569-5985

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
16.05 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101022208MIMDFacial Plastic Surgery Physician
5101026170MIMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose and Throat Consultants PC Single Specialty CurrentSince Apr 15, 2021 Accepting new patients

Locations

31450 7 Mile Rd
Livonia, MI 48152
Phone (248) 478-6363

31450 7 Mile Rd
Ste 108
Livonia, MI 48152

27483 Dequindre Rd
Ste 201
Madison Hts, MI 48071
Phone (248) 541-0100

26850 Providence Pkwy
Ste 165
Novi, MI 48374

1055 South Blvd E
Ste 210
Rochester Hills, MI 48307
Phone (248) 656-0500

26110 Harper Ave
Saint Clair Shores, MI 48081

29201 Telegraph Rd
Ste 500
Southfield, MI 48034

Interoperability endpoints

  • Direct secure messaging: mneumann1223331@direct.trinity-health.org
  • Direct secure messaging: mneumann367976@direct.hfhs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1063867356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD STE 500",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347648",
            "telephone_number": "248-569-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD STE 500",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347648",
            "telephone_number": "248-569-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUMANN",
        "first_name": "MILES",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-25",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "MI",
            "license": "5101022208",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "MI",
            "license": "5101026170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS",
            "identifier": "5101022208",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS",
            "identifier": "5101026170",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.