Individual provider Active NPI

Michael S Haupert, DO

  • Pediatric Otolaryngology Physician
  • West Bloomfield, MI
National Provider Identifier
1124018213
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X
License
5101010352 Issued in MI
Practice address
7001 Orchard Lake Rd
Suite 320C
West Bloomfield, MI 48322-3604
Phone
(248) 571-3600
Fax
(248) 973-8560
NPI assigned
Oct 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Otolaryngology Physician 207YP0228X 5101010352 MI Primary

Addresses

Primary practice location

7001 Orchard Lake Rd
Suite 320C
West Bloomfield, MI 48322-3604

Mailing address

7001 Orchard Lake Rd
Suite 320C
West Bloomfield, MI 48322-3604
Phone (248) 571-3600

Other identifiers 5

IdentifierTypeStateIssuer
4189280MedicaidMI
4189299MedicaidMI
4606981MedicaidMI
040E011990OtherMIBCBS OF MI
4189305MedicaidMI

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
I20080926000481 MI Practitioner - Otolaryngology 7517995541 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7001 Orchard Lake Rd
Suite 320C
West Bloomfield, MI 48322-3607

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Medical Group- Specialty Services CurrentSince Oct 1, 2018 Accepting new patients
Oakwood Ambulatory LLC CurrentSince May 31, 2017 Accepting new patients
William Beaumont Hospital CurrentSince Mar 1, 2014 Accepting new patients
William Beaumont Hospital Current Accepting new patients
Oakwood Ambulatory, LLC CurrentSince May 31, 2017 Accepting new patients
William Beaumont Hospital CurrentSince Mar 1, 2014 Accepting new patients
DMC Orthopedic Billing Associates LLC Past Accepting new patients
William Beaumont Hospital Past Accepting new patients
Specialists in Pediatric Neurology PLLC Past Accepting new patients

Locations

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

18100 Oakwood Blvd
Ste 303
Dearborn, MI 48124
Phone (313) 438-5998

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

3535 W 13 Mile Rd
Ste N120
Royal Oak, MI 48073
Phone (855) 863-8761

26001 Jefferson Ave
Saint Clair Shores, MI 48081
Phone (586) 779-7000

Interoperability endpoints

  • Direct secure messaging: mhaupert@direct.dmc.org
  • Direct secure messaging: mhaupert1237480@epic00.shdirect.org

Organizations & group practices 10

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 1

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": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1124018213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 ORCHARD LAKE RD",
            "address_2": "SUITE 320C",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223604",
            "telephone_number": "248-571-3600",
            "fax_number": "248-973-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 ORCHARD LAKE RD",
            "address_2": "SUITE 320C",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223604",
            "telephone_number": "248-571-3600",
            "fax_number": "248-973-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUPERT",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "MI",
            "license": "5101010352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4189280",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4189299",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4606981",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "040E011990",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4189305",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.