Individual provider Active NPI

Aaron W Maddox, M.D.

  • Internal Medicine Physician
  • Southfield, MI
National Provider Identifier
1235143777
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301038283 Issued in MI
Practice address
29201 Telegraph Rd Ste 404S
Southfield, MI 48034
Phone
(248) 450-3507
Fax
(248) 796-0177
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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 4301038283 MI Primary

Addresses

Primary practice location

29201 Telegraph Rd Ste 404S
Southfield, MI 48034

Mailing address

29201 Telegraph Rd Ste 404S
Southfield, MI 48034-7647
Phone (248) 450-3507

Other practice location 1

22255 Greenfield Rd
Ste. 210
Southfield, MI 48075-3710
Phone (248) 304-7758

Other practice location 2

22255 Greenfield Rd
Ste. 210
Southfield, MI 48075-3710
Phone (248) 304-7758

Other identifiers 2

IdentifierTypeStateIssuer
0826215OtherMIBC/BS
1613285MedicaidMI

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
I20071025000483 MI Practitioner - Internal Medicine 5698862498 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sacred Heart Medical Centre PCGroup PAC ID 5597668947, 13 clinicians

Practice addresses (Care Compare)

12660 Ten Mile Rd
2A
South Lyon, MI 48178-9141
Phone (810) 895-4070

22711 Grand River Ave
Suite 100
Detroit, MI 48219-3113
Phone (313) 221-9189

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301038283MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Physicians of Michigan Internal Medicine CurrentSince Nov 5, 2018 Accepting new patients
Kamran F. Sheikh MD PC Internal Medicine CurrentSince Jan 1, 2026 Accepting new patients
Halo Tele-Joy PLLC Internal Medicine Past Accepting new patients

Locations

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

4160 John R St
Ste 708
Detroit, MI 48201
Phone (313) 745-6817

22711 Grand River Ave
#100
Detroit, MI 48219
Phone (313) 221-9189

261 Mack Ave
#M
Detroit, MI 48201
Phone (313) 745-9700

22711 Grand River Ave
Ste 100
Detroit, MI 48219
Phone (313) 221-9189

29201 Telegraph Rd
Ste 404S
Southfield, MI 48034
Phone (248) 450-3507

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

29201 Telegraph Rd
Ste 460
Southfield, MI 48034
Phone (248) 206-7511

29201 Telegraph Rd
Ste 404
Southfield, MI 48034
Phone (248) 355-0880

Interoperability endpoints

  • Direct secure messaging: aaron.maddox.1@24172.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24172/brand/1/csg/1/fhir/r4

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 4

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1235143777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD STE 404S",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347647",
            "telephone_number": "248-450-3507",
            "fax_number": "248-796-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD STE 404S",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48034",
            "telephone_number": "248-450-3507",
            "fax_number": "248-796-0177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22255 Greenfield Rd",
            "address_2": "Ste. 210",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480753710",
            "country_code": "US",
            "telephone_number": "248-304-7758",
            "fax_number": "248-796-7575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22255 Greenfield Rd",
            "address_2": "Ste. 210",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480753710",
            "country_code": "US",
            "telephone_number": "248-304-7758",
            "fax_number": "248-796-7575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "AARON",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301038283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0826215",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1613285",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.