Active NPI
Michael Sherbin, D.O.
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Mount Clemens, MI
National Provider Identifier
1205920873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- License
- 5101005786
- Practice address
- 309 Northbound Gratiot Ave
Mount Clemens, MI 48043-5748 - Phone
- (586) 463-5831
- Fax
- (586) 463-4742
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 5101005786 | MI | |
| Otology & Neurotology Physician | 207YX0901X | 5101005786 | MI | |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | 5101005786 | MI | Primary |
Addresses
Primary practice location
309 Northbound Gratiot Ave
Mount Clemens, MI 48043-5748
Mailing address
309 Northbound Gratiot Ave
Mount Clemens, MI 48043-5748
Phone (586) 463-5831
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040E014030 | Other | MI | BCBSM |
| 1208372 | Medicaid | MI | |
| 1258178 | Medicaid | MI |
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
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 1967
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
309 Northbound Gratiot Ave
Mount Clemens, MI 48043-5748
Phone (586) 463-5831
Hospital & facility affiliations
- McLaren Macomb
- McLaren Port Huron
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal or shaving of skin growth | 13 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101005786 | MI | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sherbin Business Systems | Past | Accepting new patients | |
| Blue Water Physical Therapy, Inc. | Past | Accepting new patients | |
| Julie N Sherbin Sher DO PLLC | Multi-Specialty | Past | Accepting new patients |
Interoperability endpoints
- msherbin60244@direct.hfhs.org
Organizations & group practices 4
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.
-
- Facial Plastic Surgery Physician
- Mt Clemens, MI
- NPI 1255519526
-
- Physical Therapist
- Port Huron, MI
- NPI 1871521450
-
- Psychiatry Physician
- Sterling Heights, MI
- NPI 1861677221
Multi-Specialty
-
- Audiologist-Hearing Aid Fitter
- Warren, MI
- NPI 1568624971
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Shelby Township, MI
- NPI 1184206385
-
- General Acute Care Hospital
- Mount Clemens, MI
- NPI 1316938327
-
- General Acute Care Hospital
- Port Huron, MI
- NPI 1982685384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652400000000",
"number": "1205920873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 NORTHBOUND GRATIOT AVE",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480435748",
"telephone_number": "586-463-5831",
"fax_number": "586-463-4742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 NORTHBOUND GRATIOT AVE",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480435748",
"telephone_number": "586-463-5831",
"fax_number": "586-463-4742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERBIN",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2022-05-13",
"certification_date": "2022-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "MI",
"license": "5101005786",
"primary": false
},
{
"code": "207YX0901X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otology & Neurotology",
"state": "MI",
"license": "5101005786",
"primary": false
},
{
"code": "207YX0007X",
"taxonomy_group": "",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "MI",
"license": "5101005786",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "040E014030",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1208372",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1258178",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Clemens, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; 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.