Individual provider Active NPI

Joseph James Prezzato, MD

  • Obstetrics Physician
  • Farmington Hills, MI
National Provider Identifier
1205056645
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
4301088750 Issued in MI
Practice address
30445 Northwestern Hwy
Suite 140
Farmington Hills, MI 48334-3158
Phone
(248) 855-2229
Fax
(248) 702-6374
NPI assigned
Apr 26, 2007
Last updated
Oct 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 4301088750 MI Primary

Addresses

Primary practice location

30445 Northwestern Hwy
Suite 140
Farmington Hills, MI 48334-3158

Mailing address

30445 Northwestern Hwy
Suite 140
Farmington Hills, MI 48334-3158
Phone (248) 855-2229

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
I20101021000123 MI Practitioner - Obstetrics/Gynecology 1557554615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30445 Northwestern Hwy
Suite 140
Farmington Hills, MI 48334-3174
Phone (248) 855-2229

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph J. Prezzato M.D., PLLC CurrentSince Apr 1, 2012 Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients
Joseph Berenholz, M.D., PLLC PastSince Apr 1, 2012 Accepting new patients

Locations

30445 Northwestern Hwy
Ste 140
Farmington Hills, MI 48334
Phone (248) 855-2229

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: josephprezzato@jjpmp-mi.direct.office.nextgen.com
  • Direct secure messaging: jprezzato424103@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.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1205056645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30445 NORTHWESTERN HWY",
            "address_2": "SUITE 140",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343158",
            "telephone_number": "248-855-2229",
            "fax_number": "248-702-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30445 NORTHWESTERN HWY",
            "address_2": "SUITE 140",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343158",
            "telephone_number": "248-855-2229",
            "fax_number": "248-702-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREZZATO",
        "first_name": "JOSEPH",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "MI",
            "license": "4301088750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.