NPIMap

Individual provider Active NPI

Michael Neshewat, M.D.

  • Internal Medicine Physician
  • Southgate, MI
National Provider Identifier
1174553770
Registry record updated Jan 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301055060 Issued in MI
Practice address
3 Heritage Dr
Suite 1
Southgate, MI 48195-3000
Phone
(734) 283-3222
Fax
(734) 283-4006
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301055060 MI Primary

Addresses

Primary practice location

3 Heritage Dr
Suite 1
Southgate, MI 48195-3000

Mailing address

3 Heritage Dr
Suite 1
Southgate, MI 48195-3000
Phone (734) 283-3222

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
I20040322001556 MI Practitioner - Internal Medicine 8820989692 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southgate Medical Group PLLCGroup PAC ID 1456307560, 2 clinicians

Practice addresses (Care Compare)

3 Heritage Dr
Suite 1
Southgate, MI 48195-3000
Phone (734) 283-3222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.77 of 100Reported as apm
Quality
75.13
Promoting interoperability
88.5
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southgate Medical Group, PLLC Internal Medicine CurrentSince Oct 15, 2004 Accepting new patients

Locations

3 Heritage Dr
#1
Southgate, MI 48195
Phone (734) 283-3222

Interoperability endpoints

  • Direct secure messaging: mneshewat60157@direct.hfhs.org

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389830400000",
    "number": "1174553770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HERITAGE DR",
            "address_2": "SUITE 1",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481953000",
            "telephone_number": "734-283-3222",
            "fax_number": "734-283-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HERITAGE DR",
            "address_2": "SUITE 1",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481953000",
            "telephone_number": "734-283-3222",
            "fax_number": "734-283-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESHEWAT",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2014-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301055060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southgate, MI

Sources for this page

Verify at the official NPI Registry.