Active NPI
Michael Thomas Coraci, PAC
- Surgical Physician Assistant
- Royal Oak, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 5601003385
- Practice address
- 3601 W 13 Mile Rd
Royal Oak, MI 48073-6712 - Phone
- (248) 898-6064
- NPI assigned
- Feb 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 5601003385 | MI | Primary |
Addresses
Primary practice location
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Mailing address
PO Box 250575
Franklin, MI 48025-0575
Phone (586) 202-2432
Other practice location 1
26705 West 13 Mile Road
Franklin, MI 48025-0575
Phone (586) 202-2432
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Wayne State University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13350 24 Mile Rd
Suite 200
Shelby Township, MI 48315-1826
Phone (586) 566-8688
17700 23 Mile Rd
Macomb, MI 48044-1154
Phone (586) 416-7530
22101 Moross Rd
Detroit, MI 48236-2148
Phone (313) 343-3248
4100 River Rd
East China, MI 48054-2909
Phone (810) 329-7111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastpointe Radiologists, P.C. | Current | Accepting new patients | |
| Mary E Barna DPM & Associates PC | Past | Accepting new patients |
Locations
51307 Gratiot Ave
Chesterfield, MI 48051
Phone (586) 741-3772
36750 26 Mile Rd
Chesterfield, MI 48047
Phone (586) 879-2000
43900 Garfield Rd
Ste 222
Clinton Twp, MI 48038
Phone (586) 263-1234
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
17141 Kercheval Ave
Grosse Pointe, MI 48230
Phone (313) 642-4980
21003 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 881-0411
46591 Romeo Plank Rd
Ste 220
Macomb, MI 48044
Phone (586) 226-6170
17700 23 Mile Rd
Macomb, MI 48044
Phone (586) 416-7500
46591 Romeo Plank Rd
Macomb, MI 48044
Phone (586) 226-6269
13350 24 Mile Rd
Ste 200
Shelby Township, MI 48315
Phone (586) 566-7100
11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000
64580 Van Dyke Rd
Ste C
Washington Township, MI 48095
Phone (586) 752-9483
Interoperability endpoints
- mcoraci1123837@direct.hfhs.org
Organizations & group practices 3
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.
-
dba Grosse Pointe Physicians Xray Center, PC
- Diagnostic Radiology Physician
- Grosse Pointe Woods, MI
- NPI 1558409649
-
dba Grosse Pointe Physicians Xray Center, PC
- Diagnostic Radiology Physician
- Detroit, MI
- NPI 1881642056
-
- Podiatrist
- Allen Park, MI
- NPI 1598730962
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. John Macomb Oakland Hospital-Warren Campus
- General Acute Care Hospital
- Warren, MI
- NPI 1124099858
-
dba St John Macomb Oakland - Oakland Center
- General Acute Care Hospital
- Madison Heights, MI
- NPI 1215139233
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1811044878
-
dba Beaumont Hospital, Grosse Pointe
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
-
dba St John Hospital and Medical Center
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735776000000",
"number": "1154396158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 250575",
"city": "FRANKLIN",
"state": "MI",
"postal_code": "480250575",
"telephone_number": "586-202-2432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 W 13 MILE RD",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736712",
"telephone_number": "248-898-6064"
}
],
"practiceLocations": [
{
"address_1": "26705 West 13 Mile Road",
"address_purpose": "LOCATION",
"city": "Franklin",
"state": "MI",
"postal_code": "480250575",
"country_code": "US",
"telephone_number": "586-202-2432",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORACI",
"first_name": "MICHAEL",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MI",
"license": "5601003385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.