Active NPI
Dominic James Maffetone, MD
- Family Medicine Physician
- Farmington, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301501877
- Practice address
- 23133 Orchard Lake Rd Ste 102
Farmington, MI 48336-3278 - Phone
- (248) 476-2420
- NPI assigned
- Jun 1, 2017
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301501877 | MI | Primary |
Addresses
Primary practice location
23133 Orchard Lake Rd Ste 102
Farmington, MI 48336-3278
Mailing address
6379 Silver Lake Rd
Linden, MI 48451-8706
Phone (810) 735-7847
Other practice location 1
1 Genesys Pkwy
Grand Blanc, MI 48439-8065
Phone (810) 606-5000
Other practice location 2
6379 Silver Lake Rd
Linden, MI 48451-8706
Phone (810) 735-7847
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200803003165 | MI | Practitioner - Family Practice | 4486925559 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- VMD Primary Providers Eastern Michigan PC
Practice addresses (Care Compare)
23133 Orchard Lake Rd
Suite 102
Farmington, MI 48336-3278
Phone (248) 476-2420
Hospital & facility affiliations
- Tone Home Health Services
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VMD Primary Providers Eastern Michigan, PC | Family Medicine | Current | Accepting new patients |
| Genesys Integrated Group Practice PC | Past | Accepting new patients |
Locations
39475 Lewis Dr
Ste 130
Novi, MI 48377
Phone (248) 374-0502
Interoperability endpoints
- dominic.maffetone.1@21803.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Novi, MI
- NPI 1336625540
Family Medicine, MI
-
- Nurse Practitioner
- Flint, MI
- NPI 1386782381
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Farmington Hills, MI
- NPI 1861420879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745539200000",
"number": "1164950341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6379 SILVER LAKE RD",
"city": "LINDEN",
"state": "MI",
"postal_code": "484518706",
"telephone_number": "810-735-7847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23133 ORCHARD LAKE RD STE 102",
"city": "FARMINGTON",
"state": "MI",
"postal_code": "483363278",
"telephone_number": "248-476-2420"
}
],
"practiceLocations": [
{
"address_1": "1 Genesys Pkwy",
"address_purpose": "LOCATION",
"city": "Grand Blanc",
"state": "MI",
"postal_code": "484398065",
"country_code": "US",
"telephone_number": "810-606-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6379 Silver Lake Rd",
"address_purpose": "LOCATION",
"city": "Linden",
"state": "MI",
"postal_code": "484518706",
"country_code": "US",
"telephone_number": "810-735-7847",
"fax_number": "810-249-4312",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAFFETONE",
"first_name": "DOMINIC",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-01",
"last_updated": "2025-04-25",
"certification_date": "2025-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301501877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.