Individual provider Active NPI

Michael P McDermott, M.D.

  • Orthopaedic Surgery Physician
  • Lansing, MI
National Provider Identifier
1073590709
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
5315018271 Issued in MI
Practice address
3394 E Jolly Rd
Ste a
Lansing, MI 48910-8594
Phone
(517) 394-3200
Fax
(517) 394-4250
NPI assigned
Dec 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 5315018271 MI Primary

Addresses

Primary practice location

3394 E Jolly Rd
Ste a
Lansing, MI 48910-8594

Mailing address

3394 E Jolly Rd
Ste a
Lansing, MI 48910-8594
Phone (517) 394-3200

Other identifiers 4

IdentifierTypeStateIssuer
0331276OtherMIBLUECARE NETWORK
2003312762OtherMIBLUE CROSS/BLUE SHIELD
200000002799OtherMIPHYSICIANS HEALTH PLAN
4839750MedicaidMI

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
I20060718000026 MI Practitioner - Orthopedic Surgery 4789697749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Michigan Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3394 E Jolly Rd a
SMG Orthopedics and Sport Medicine
Lansing, MI 48910-8595
Phone (517) 394-3200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5315018271MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Edward W. Sparrow Hospital Association Orthopaedic Surgery CurrentSince Sep 1, 2020 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Sep 1, 2020 Accepting new patients
Edward W. Sparrow Hospital Association Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

2900 Hannah Blvd
Ste B102
East Lansing, MI 48823
Phone (517) 364-8050

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

3394 E Jolly Rd
Ste A
Lansing, MI 48910
Phone (517) 253-5100

Interoperability endpoints

  • Direct secure messaging: mmcdermott15502@sparrowdirecthie.org

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1073590709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3394 E JOLLY RD",
            "address_2": "STE A",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489108594",
            "telephone_number": "517-394-3200",
            "fax_number": "517-394-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3394 E JOLLY RD",
            "address_2": "STE A",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489108594",
            "telephone_number": "517-394-3200",
            "fax_number": "517-394-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5315018271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECARE NETWORK",
            "identifier": "0331276",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "2003312762",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS HEALTH PLAN",
            "identifier": "200000002799",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4839750",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.