NPIMap

Individual provider Active NPI

Matthew C. Holtzman, M.D.

  • Neurology Physician
  • Wayne, MI
National Provider Identifier
1275741647
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
4301081479 Issued in MI
Practice address
34815 W Michigan Ave
C
Wayne, MI 48184-1799
Phone
(734) 721-4739
Fax
(734) 725-3184
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X 4301081479 MI
Neurology Physician 2084N0400X 4301081479 MI Primary

Addresses

Primary practice location

34815 W Michigan Ave
C
Wayne, MI 48184-1799

Mailing address

34815 W Michigan Ave
C
Wayne, MI 48184-1799
Phone (734) 721-4739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080619000447 MI Practitioner - Neurology 6800967746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Michigan Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wayne Neurology PLCGroup PAC ID 5294731683, 2 clinicians

Practice addresses (Care Compare)

34815 W Michigan Ave
Suite C
Wayne, MI 48184-1799
Phone (734) 721-4739

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Neurology PLC Neurology CurrentSince Apr 2, 2015 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital Past Accepting new patients

Locations

29355 Northwestern Hwy
Ste 110
Southfield, MI 48034
Phone (248) 851-4900

34815 W Michigan Ave
Ste C
Wayne, MI 48184
Phone (734) 721-4739

34815 W Michigan Ave
#C
Wayne, MI 48184
Phone (734) 721-4739

34815 W Michigan Ave
Wayne, MI 48184
Phone (734) 389-7103

Interoperability endpoints

  • Direct secure messaging: mholtzman60007@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.

Hospital & facility affiliations 6

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507680000000",
    "number": "1275741647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34815 W MICHIGAN AVE",
            "address_2": "C",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841799",
            "telephone_number": "734-721-4739",
            "fax_number": "734-725-3184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34815 W MICHIGAN AVE",
            "address_2": "C",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841799",
            "telephone_number": "734-721-4739",
            "fax_number": "734-725-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTZMAN",
        "first_name": "MATTHEW",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2017-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "MI",
            "license": "4301081479",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301081479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, MI

Sources for this page

Verify at the official NPI Registry.