Individual provider Active NPI

Michael Sherbin, D.O.

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Mount Clemens, MI
National Provider Identifier
1205920873
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
5101005786 Issued in MI
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

Updated by the provider on May 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
040E014030OtherMIBCBSM
1208372MedicaidMI
1258178MedicaidMI

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
I20080521000802 MI Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 1355361759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
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
Michael Sherbin DO PCGroup PAC ID 5092735498, 3 clinicians

Practice addresses (Care Compare)

309 Northbound Gratiot Ave
Mount Clemens, MI 48043-5748
Phone (586) 463-5831

Hospital & facility affiliations

  • McLaren Macomb Hospital, Mount Clemens, MI, CCN 230227
  • McLaren Port Huron Hospital, Port Huron, MI, CCN 230216

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth13
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101005786MIMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.