Individual provider Active NPI

Ed Atty, MD

  • Specialist
  • Flint, MI
National Provider Identifier
1144260332
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4301055962 Issued in MI
Practice address
3400 Fleckenstein Rd
Suite 1
Flint, MI 48507-3042
Phone
(810) 877-7370
Fax
(810) 230-9338
NPI assigned
Jun 7, 2006
Last updated
Nov 12, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4301055962 MI Primary
Physical Medicine & Rehabilitation Physician 208100000X 4301055962 MI
Rehabilitation Practitioner 225400000X EA055962 MI

Addresses

Primary practice location

3400 Fleckenstein Rd
Suite 1
Flint, MI 48507-3042

Mailing address

3400 Fleckenstein Rd
Suite 1
Flint, MI 48507-3042
Phone (810) 877-7370

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
I20041203000332 MI Practitioner - Physical Medicine and Rehabilitation 8729044524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Wayne State University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3400 Fleckenstein Rd
Suite 1
Flint, MI 48507-3042
Phone (810) 877-7370

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.63 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301055962MIMDPhysical Medicine & Rehabilitation Physician
EA055962MIMDRehabilitation Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Pain Specialists, PLLC CurrentSince Jun 1, 2014 Accepting new patients
Comprehensive Pain Specialists, PLLC CurrentSince Jun 1, 2014 Accepting new patients

Locations

3400 Fleckenstein Rd
Ste 1
Flint, MI 48507
Phone (810) 788-7370

4450 Fashion Square Blvd
Saginaw, MI 48603
Phone (989) 583-5240

Organizations & group practices 2

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 3

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1144260332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 FLECKENSTEIN RD",
            "address_2": "SUITE 1",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073042",
            "telephone_number": "810-877-7370",
            "fax_number": "810-230-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 FLECKENSTEIN RD",
            "address_2": "SUITE 1",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073042",
            "telephone_number": "810-877-7370",
            "fax_number": "810-230-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTY",
        "first_name": "ED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301055962",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301055962",
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "MI",
            "license": "EA055962",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.