Active NPI
Michael P McDermott, M.D.
- Orthopaedic Surgery Physician
- Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 5315018271
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0331276 | Other | MI | BLUECARE NETWORK |
| 2003312762 | Other | MI | BLUE CROSS/BLUE SHIELD |
| 200000002799 | Other | MI | PHYSICIANS HEALTH PLAN |
| 4839750 | Medicaid | MI |
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
Enrollment records 1
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
- Residential Home Health
- Edward W Sparrow Hospital
- University of Michigan Health- Sparrow Clinton
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5315018271 | MI | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Orthopaedic Surgery | Current | Accepting new patients |
| Edward W Sparrow Hospital Association | Current | 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
- 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.
-
- Pediatrics Physician
- Lansing, MI
- NPI 1831139088
-
- Adult Health Nurse Practitioner
- Lansing, MI
- NPI 1265220438
-
- Orthopaedic Surgery Physician
- East Lansing, MI
- NPI 1700365244
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Lansing, MI
- NPI 1033162326
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
-
- Home Health Agency
- Troy, MI
- NPI 1992768550
-
- Critical Access Hospital
- Saint Johns, MI
- NPI 1093809824
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; 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.