Individual provider Active NPI

Derek J Handzo, D.O.

  • Otology & Neurotology Physician
  • Auburn Hills, MI
National Provider Identifier
1114122165
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
5101017392 Issued in MI
Practice address
2251 N Squirrel Rd
Auburn Hills, MI 48326-4600
Phone
(248) 652-0044
NPI assigned
Jun 19, 2007
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otology & Neurotology Physician 207YX0901X 5101017392 MI Primary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 5101017392 MI

Addresses

Primary practice location

2251 N Squirrel Rd
Auburn Hills, MI 48326-4600

Mailing address

11080 Hall Rd Ste a
Sterling Heights, MI 48314-1511
Phone (586) 254-7200

Other practice location 1

11080 Hall Rd Ste A
Sterling Heights, MI 48314-1511
Phone (586) 254-7200

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
I20120921000419 MI Practitioner - Otolaryngology 8820246598 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Michigan State University College of Osteopathic Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Semi Medical GroupGroup PAC ID 0648180406, shared by 4 NPIs, 246 clinicians

Practice addresses (Care Compare)

17770 Mack Ave
Grosse Pointe, MI 48230-6233
Phone (313) 885-6367

17900 23 Mile Rd
Macomb, MI 48044-1161
Phone (313) 647-3900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.19 of 100Reported as individual
Quality
66.16
Promoting interoperability
86
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital CurrentSince Aug 6, 2012 Accepting new patients
Lakeshore Ear Nose and Throat Center PC Otolaryngology CurrentSince Nov 26, 2018 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Lakeshore Ear Nose and Throat Center PC Otolaryngology Current Accepting new patients
Henry Ford Health St. John Hospital Otolaryngology CurrentSince Aug 6, 2012 Accepting new patients
Henry Ford Health St. John Hospital Past Accepting new patients

Locations

2251 N Squirrel Rd
Ste 200
Auburn Hills, MI 48326
Phone (248) 340-9465

17770 Mack Ave
Grosse Pointe Shores, MI 48230
Phone (313) 882-1731

17900 23 Mile Rd
Ste 203
Macomb, MI 48044
Phone (586) 263-7400

17900 23 Mile Rd
Ste 205
Macomb, MI 48044
Phone (313) 885-6367

1202 Walton Blvd
Ste 201
Rochester Hills, MI 48307
Phone (248) 652-0044

21000 E 12 Mile Rd
Ste 111
St Clr Shores, MI 48081
Phone (586) 779-7610

11080 Hall Rd
Ste A
Sterling Hts, MI 48314
Phone (586) 254-0033

Interoperability endpoints

  • Direct secure messaging: dhandzo248915@direct.hfhs.org

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1114122165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11080 HALL RD STE A",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141511",
            "telephone_number": "586-254-7200",
            "fax_number": "586-254-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 N SQUIRREL RD",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483264600",
            "telephone_number": "248-652-0044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11080 Hall Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483141511",
            "country_code": "US",
            "telephone_number": "586-254-7200",
            "fax_number": "586-254-7201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANDZO",
        "first_name": "DEREK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "MI",
            "license": "5101017392",
            "primary": true
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "MI",
            "license": "5101017392",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn Hills, MI

Sources for this page

Verify at the official NPI Registry.