Individual provider Active NPI

Andres M Seidner, M.D.

  • Emergency Medicine Physician
  • Beverly Hills, MI
National Provider Identifier
1285848978
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301087805 Issued in MI
Practice address
31173 Pickwick LN
Beverly Hills, MI 48025-5242
Phone
(248) 688-5773
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301087805 MI Primary

Addresses

Primary practice location

31173 Pickwick LN
Beverly Hills, MI 48025-5242

Mailing address

31173 Pickwick LN
Beverly Hills, MI 48025-5242
Phone (248) 688-5773

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
I20090806000370 MI Practitioner - Emergency Medicine 5698828721 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Toledo Medical College, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center SaultGroup PAC ID 7315936481, 101 clinicians

Practice addresses (Care Compare)

500 Osborn Blvd
Sault S Marie, MI 49783-1822
Phone (906) 635-4460

Hospital & facility affiliations

  • Chippewa County War Memorial Hospital Hospital, Sault Ste Marie, MI, CCN 230239

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Current Accepting new patients
Interlochen Emergency Group, P.C. Emergency Medicine CurrentSince Dec 10, 2023 Accepting new patients
Caberfae Emergency Group, P.C. Emergency Medicine CurrentSince Nov 8, 2023 Accepting new patients
Mymichigan Medical Center Sault CurrentSince Jul 10, 2009 Accepting new patients
Northwestern Michigan Emergency Physicians PC Emergency Medicine CurrentSince Nov 1, 2011 Accepting new patients
Mymichigan Medical Center Sault Current Accepting new patients
Hawk Emergency Group, P.C. Emergency Medicine CurrentSince Dec 12, 2023 Accepting new patients
Henry Ford Health System CurrentSince Sep 17, 2009 Accepting new patients
Henry Ford Health System Emergency Medicine CurrentSince Sep 17, 2009 Accepting new patients
Mymichigan Medical Center Sault CurrentSince Jul 10, 2009 Accepting new patients
Alegent Creighton Health Emergency Medicine Past Accepting new patients
Nebraska Emergency Physicians PC Emergency Medicine Past Accepting new patients

Locations

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840

19401 Hubbard Dr
Dearborn, MI 48126
Phone (313) 982-8100

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

224 Park Ave
Frankfort, MI 49635
Phone (231) 352-2200

825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

1465 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1000

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

500 Osborn Blvd
Sault South Marie, MI 49783
Phone (906) 635-4350

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

Interoperability endpoints

  • Direct secure messaging: aseidner146131@mymichiganhealth.midirect.net

Organizations & group practices 12

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 1

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1285848978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31173 PICKWICK LN",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480255242",
            "telephone_number": "248-688-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31173 PICKWICK LN",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480255242",
            "telephone_number": "248-688-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDNER",
        "first_name": "ANDRES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301087805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, MI

Sources for this page

Verify at the official NPI Registry.