Individual provider Active NPI

Harvey Minkin, D.O.

  • Diagnostic Radiology Physician
  • West Bloomfield, MI
National Provider Identifier
1083667430
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
5101006157 Issued in MI
Practice address
7001 Orchard Lake Rd
Suite 122
West Bloomfield, MI 48322-3604
Phone
(248) 932-5100
NPI assigned
May 18, 2006
Last updated
Jun 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 5101006157 MI Primary

Addresses

Primary practice location

7001 Orchard Lake Rd
Suite 122
West Bloomfield, MI 48322-3604

Mailing address

7001 Orchard Lake Rd
Suite 122
West Bloomfield, MI 48322-3604
Phone (248) 932-5100

Other identifiers 5

IdentifierTypeStateIssuer
3012847MedicaidMI
OZ91063OtherMIBLUE CROSS
301284711MedicaidMI
4431295MedicaidMI
31-56332415OtherMIBLUE CROSS NUMBER

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
I20041223000118 MI Practitioner - Diagnostic Radiology 9234197138 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Midwestern University, Chicago College of Osteopathic Med, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence M Dell, MD, PCGroup PAC ID 1456398775, 6 clinicians

Practice addresses (Care Compare)

2300 Haggerty Rd
West Bloomfield, MI 48323-2185
Phone (248) 668-0900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101006157MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC CurrentSince Nov 1, 2011 Accepting new patients
Michigan Diagnostic Group PLC CurrentSince Jul 1, 2010 Accepting new patients
Lawrence M Dell, MD, PC CurrentSince Jan 1, 2005 Accepting new patients
H & R Medical Practice, PC CurrentSince Apr 1, 2007 Accepting new patients
Shalini Gupta, M.D., P.C. CurrentSince Aug 30, 2014 Accepting new patients
Allenwood Family Health Care, PC CurrentSince Jan 11, 2016 Accepting new patients
Jennifer Fretz,PLC CurrentSince Sep 16, 2009 Accepting new patients
Colleen D. Browne DO PC Current Accepting new patients
Hartland Family Physicians PC CurrentSince Jun 1, 2009 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Nov 1, 2011 Accepting new patients
Infinity Medical Group, PLLC Past Accepting new patients
Comprehensive Medical Associates, PLC Past Accepting new patients

Locations

43421 Garfield Rd
Ste 1
Clinton Twp, MI 48038
Phone (586) 286-5500

23800 Ford Rd
Dearborn Heights, MI 48127
Phone (313) 274-8181

17000 E 10 Mile Rd
Eastpointe, MI 48021
Phone (248) 909-9830

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

25620 Gibraltar Rd
Flat Rock, MI 48134
Phone (734) 789-8950

11150 Highland Rd
Hartland, MI 48353
Phone (810) 632-6380

27483 Dequindre Rd
Ste 101
Madison Hts, MI 48071
Phone (248) 544-9050

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

38600 Van Dyke Ave
Ste 255
Sterling Heights, MI 48312
Phone (586) 978-2222

41400 Dequindre Rd
Ste 121
Sterling Hts, MI 48314
Phone (586) 731-1500

11368 Allen Rd
Taylor, MI 48180
Phone (734) 403-2222

24474 Goddard Rd
Taylor, MI 48180
Phone (313) 292-7700

1570 Kingsway Ct
Ste 1
Trenton, MI 48183
Phone (833) 373-7389

11900 E 12 Mile Rd
Ste 300
Warren, MI 48093
Phone (586) 751-1515

2300 Haggerty Rd
Ste 1
West Bloomfield, MI 48323
Phone (248) 960-7711

2300 Haggerty Rd
Ste 1010
West Bloomfield, MI 48323
Phone (248) 668-0900

2300 Haggerty Rd
Ste 2190
West Bloomfield, MI 48323
Phone (248) 960-1122

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23604/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/7749/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/9875/brand/1/csg/1/fhir/r4

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1083667430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 ORCHARD LAKE RD",
            "address_2": "SUITE 122",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223604",
            "telephone_number": "248-932-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 ORCHARD LAKE RD",
            "address_2": "SUITE 122",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223604",
            "telephone_number": "248-932-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINKIN",
        "first_name": "HARVEY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "5101006157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3012847",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "OZ91063",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301284711",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4431295",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NUMBER",
            "identifier": "31-56332415",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.