Michael Tobin Siegel, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MS407369 Issued in MI

Practice address

1095 W Huron St
Waterford, MI 48328-3735

Phone

(248) 682-9611

Fax

(248) 682-6051

NPI assigned

Oct 12, 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

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

Dermatology

Education

University of Michigan Medical School, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Precision DermatologyGroup PAC ID 1759816432, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029

Merit-based Incentive Payment System (MIPS)

Final score

97.44 of 100Reported as individual

Quality

94.88

Improvement activities

40

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.

• Marvin D. Siegel, M.D., P.C.

  • Dermatology Physician
  • Waterford, MI
  • NPI 1932248317
  Medicare reassignment NPD Authorized official
• Precision Dermatology

  • Dermatology Physician
  • Waterford, MI
  • NPI 1366262156
  Medicare reassignment Care Compare group

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

• St Joseph Mercy Hospital-SMHC

  • General Acute Care Hospital
  • Pontiac, MI
  • NPI 1053356352
  Care Compare affiliation

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1104915875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 W HURON ST",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283735",
            "telephone_number": "248-682-9611",
            "fax_number": "248-682-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 W HURON ST",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283735",
            "telephone_number": "248-682-9611",
            "fax_number": "248-682-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "MICHAEL",
        "middle_name": "TOBIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "MS407369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lowell R Showalter
• Tina Shriner
• Marcia Shropshire, CD(DONA)
• David D Shushtari, DDS
• Marvin David Siegel, MD
• Kimberly Sifuentes
• Kerri Sills
• Charles Silow, PHD
• Gurbir Singh, MD
• Parvathi Sivaramakrishnan, M.D.

• Dermatology Physician in Waterford, MI
• Providers in Waterford, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.