Samuel J Mucci, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

067463 Issued in MI

Practice address

15590 W 13 Mile Rd
Suite a
Beverly Hills, MI 48025-5642

Phone

(248) 283-1115

Fax

(248) 283-1119

NPI assigned

Aug 2, 2005

Reactivated

Mar 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Plastic and Reconstructive Surgery

Education

Temple University School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
• Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Samuel J Mucci M.D.P.C.

  • Specialist
  • Beverly Hills, MI
  • NPI 1629240965
  Medicare reassignment NPD

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

• William Beaumont Hospital

  dba Beaumont Hospital, Troy

  • General Acute Care Hospital
  • Troy, MI
  • NPI 1306825997
  Care Compare affiliation
• William Beaumont Hospital

  dba Beaumont Hospital, Royal Oak

  • General Acute Care Hospital
  • Royal Oak, MI
  • NPI 1689653305
  Care Compare affiliation
• William Beaumont Hospital

  dba Beaumont Hospital, Grosse Pointe

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017
  Care Compare affiliation

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246233600000",
    "number": "1073514048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15590 W 13 MILE RD",
            "address_2": "SUITE A",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480255642",
            "telephone_number": "248-283-1115",
            "fax_number": "248-283-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15590 W 13 MILE RD",
            "address_2": "SUITE A",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480255642",
            "telephone_number": "248-283-1115",
            "fax_number": "248-283-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCCI",
        "first_name": "SAMUEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2009-06-29",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "067463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3269170",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Minerva Neurological Institute, PLLC (Arun Sherma)
• Indira C Misra Higgins, DO PLLC
• Mission Point of Beverly Hills LLC (Mission Point Nursing & Physical Rehabilitation Ctr of Beverly Hills)
• Andrea Moore, PT, DPT
• Caroline Morris, PA
• Jason Alan Mulawa, MD, PHARMD
• Cathleen Marie Nagle, PT
• Shannon Nelsen, O.T.
• Nicholaos G Makris MD PC
• Ayesha Carmela Oglesby, FNP-C

• Specialist in Beverly Hills, MI
• Providers in Beverly Hills, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; 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.

Verify at the official NPI Registry.