Individual provider Active NPI

Natalia Filipof

  • Specialist
  • Grosse Pointe Woods, MI
National Provider Identifier
1245340975
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
20030 Mack Ave
Grosse Pointe Woods, MI 48236-2323
Phone
(313) 884-3380
Fax
(313) 884-9756
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

20030 Mack Ave
Grosse Pointe Woods, MI 48236-2323

Mailing address

581 Ballantyne Rd
Grosse Pointe Shores, MI 48236-2635
Phone (586) 945-1652

Other identifiers 1

IdentifierTypeStateIssuer
4301063501OtherMISTATE LICENSE

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
I20040512000134 MI Practitioner - Internal Medicine 3870582976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Michigan State University College of Human Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lisa a Manz Dulac MD and Associates PCGroup PAC ID 4880666429, 6 clinicians

Practice addresses (Care Compare)

11525 Highland Rd
Suite 14
Hartland, MI 48353-2726
Phone (313) 884-3380

Merit-based Incentive Payment System (MIPS)

Final score
96.34 of 100Reported as group
Quality
90.86
Improvement activities
40
Cost
100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1793
Removal or shaving of skin growth13
Skin biopsy219

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa a Manz Dulac MD & Associates PC Specialist CurrentSince Nov 4, 2009 Accepting new patients
Knollcrestob-GYN Associates, P.C. Past Accepting new patients

Locations

32743 23 Mile Rd
Ste 230
Chesterfield, MI 48047
Phone (313) 884-3380

20030 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 884-3380

11525 Highland Rd
Ste 14
Hartland, MI 48353
Phone (313) 884-3380

120 S Main St
Ste D
Milford, MI 48381
Phone (248) 684-1282

Interoperability endpoints

  • Direct secure messaging: nfilipof1126771@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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1245340975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 BALLANTYNE RD",
            "city": "GROSSE POINTE SHORES",
            "state": "MI",
            "postal_code": "482362635",
            "telephone_number": "586-945-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20030 MACK AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362323",
            "telephone_number": "313-884-3380",
            "fax_number": "313-884-9756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILIPOF",
        "first_name": "NATALIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4301063501",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Woods, MI

Sources for this page

Verify at the official NPI Registry.