Individual provider Active NPI

Steven Alan Kushner, DO

  • Orthopaedic Hand Surgery Physician
  • Warren, MI
National Provider Identifier
1164408985
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
SK008923 Issued in MI
Practice address
3272 E 12 Mile Rd Ste 106
Deerfield Meadows
Warren, MI 48092-5622
Phone
(586) 751-3650
Fax
(586) 757-3505
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X SK008923 MI Primary
Hand Occupational Therapist 225XH1200X 989940 MI

Addresses

Primary practice location

3272 E 12 Mile Rd Ste 106
Deerfield Meadows
Warren, MI 48092-5622

Mailing address

3272 E 12 Mile Rd Ste 106
Deerfield Meadows
Warren, MI 48092-5622
Phone (586) 751-3650

Other identifiers 7

IdentifierTypeStateIssuer
101660OtherMIGREAT LAKES HEALTH PLAN
123081OtherMIPREFERRED CHOICES
3014304 TYPE 11MedicaidMI
123081OtherMIPRIORITY HEALTH
4242651OtherMIAETNA
5630294OtherMIBLUE CARE NETWORK
123081OtherMICARE CHOICES

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
I20050711000190 MI Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 3577509223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steven a Kushner DO PCGroup PAC ID 7517903263, 2 clinicians

Practice addresses (Care Compare)

2300 Haggerty Rd
Suite 2190
West Bloomfield, MI 48323-2192
Phone (248) 960-5604

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SK008923MIMDOrthopaedic Hand Surgery Physician
989940MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven a Kushner DO PC Hand Surgery CurrentSince Jul 1, 2005 Accepting new patients

Locations

23985 Novi Rd
Ste B101
Novi, MI 48375
Phone (248) 305-9614

3272 E 12 Mile Rd
Ste 106
Warren, MI 48092
Phone (586) 751-3650

2300 Haggerty Rd
Ste 2190
West Bloomfield, MI 48323
Phone (248) 960-1122

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: steven.kushner.1@5042.direct.athenahealth.com
  • Direct secure messaging: skushner2@direct.dmc.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1164408985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3272 E 12 MILE RD STE 106",
            "address_2": "DEERFIELD MEADOWS",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480925622",
            "telephone_number": "586-751-3650",
            "fax_number": "586-751-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3272 E 12 MILE RD STE 106",
            "address_2": "DEERFIELD MEADOWS",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480925622",
            "telephone_number": "586-751-3650",
            "fax_number": "586-757-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSHNER",
        "first_name": "STEVEN",
        "middle_name": "ALAN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "MI",
            "license": "SK008923",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MI",
            "license": "989940",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES HEALTH PLAN",
            "identifier": "101660",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CHOICES",
            "identifier": "123081",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3014304 TYPE 11",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "123081",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4242651",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "5630294",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "123081",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.