NPIMap

Individual provider Active NPI

Andrew Adair, D.O.

  • Family Medicine Physician
  • Chesterfield, MI
National Provider Identifier
1164541702
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101013932 Issued in MI
Practice address
30795 23 Mile Rd
Ste 205
Chesterfield, MI 48047-5720
Phone
(586) 421-3150
Fax
(586) 421-3151
NPI assigned
Mar 28, 2007
Last updated
Dec 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101013932 MI Primary

Addresses

Primary practice location

30795 23 Mile Rd
Ste 205
Chesterfield, MI 48047-5720

Mailing address

1 Ford PL # 2E
Detroit, MI 48202-3450
Phone (313) 695-8578

Other identifiers 1

IdentifierTypeStateIssuer
4691294MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041203000835 MI Practitioner - Family Practice 1456317114 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians
Total Health Systems IncGroup PAC ID 3870481740, 26 clinicians

Practice addresses (Care Compare)

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600

43740 Garfield Rd
Clinton Township, MI 48038-1122
Phone (586) 228-0270

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101013932MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Hospital Corporation CurrentSince Nov 1, 2007 Accepting new patients
Henry Ford Health System Current Accepting new patients
Henry Ford Macomb Hospital Corporation Family Medicine CurrentSince Nov 1, 2007 Accepting new patients
Total Health Systems Inc Family Medicine CurrentSince Oct 1, 2014 Accepting new patients
Henry Ford Pathology Current Accepting new patients
Henry Ford Health System CurrentSince Jan 20, 2020 Accepting new patients
Henr Y Ford Health System Family Medicine CurrentSince Jan 20, 2020 Accepting new patients
Presbyterian Village East Past Accepting new patients
Macomb County Human Services Board-an Agency of Macomb County Past Accepting new patients
Total Health Systems Inc Past Accepting new patients

Locations

80650 Van Dyke Rd
Bruce Twp, MI 48065
Phone (810) 798-6410

26672 Van Dyke Ave
Center Line, MI 48015
Phone (586) 756-7670

28098 23 Mile Rd
Chesterfield, MI 48051
Phone (586) 949-0123

30795 23 Mile Rd
Ste 205
Chesterfield, MI 48047
Phone (586) 421-3000

48762 Gratiot Ave
Chesterfield, MI 48051
Phone (313) 290-2250

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

43740 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 228-0270

1 Ford Pl
#2E
Detroit, MI 48202
Phone (313) 874-4688

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

30045 Harper Ave
Saint Clair Shores, MI 48082
Phone (586) 771-2006

57911 Van Dyke Rd
Washington, MI 48094
Phone (586) 781-0800

Interoperability endpoints

  • Direct secure messaging: aadair8859@direct.hfhs.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1164541702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORD PL # 2E",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "313-695-8578",
            "fax_number": "586-716-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30795 23 MILE RD",
            "address_2": "STE 205",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480475720",
            "telephone_number": "586-421-3150",
            "fax_number": "586-421-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAIR",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101013932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4691294",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

Verify at the official NPI Registry.