Individual provider Active NPI

Michael Polito, DO

  • Emergency Medicine Physician
  • Southfield, MI
National Provider Identifier
1417997560
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101012882 Issued in MI
Practice address
18161 W 13 Mile Rd
Suiote a-2
Southfield, MI 48076-1113
Phone
(248) 642-9893
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 5101012882 MI Primary

Addresses

Primary practice location

18161 W 13 Mile Rd
Suiote a-2
Southfield, MI 48076-1113

Mailing address

18161 W 13 Mile Rd
Suiote a-2
Southfield, MI 48076-1113
Phone (248) 642-9893

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
I20040510001277 MI Practitioner - Emergency Medicine 6608865126 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Hospital GroupGroup PAC ID 2365968351, 366 clinicians
McLaren Medical GroupGroup PAC ID 3971416082, 240 clinicians

Practice addresses (Care Compare)

2110 S M
76 Suite 1
West Branch, MI 48661-8821
Phone (989) 516-5075

401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-2000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Medical Group CurrentSince Aug 8, 2023 Accepting new patients
McLaren Hospital Group Emergency Medicine CurrentSince Jul 15, 2025 Accepting new patients
Emergency Department Physicians, P.C. Emergency Medicine CurrentSince Jan 1, 2013 Accepting new patients
McLaren Medical Group Emergency Medicine CurrentSince Aug 8, 2023 Accepting new patients
Degara App, PLLC Emergency Medicine CurrentSince Oct 1, 2018 Accepting new patients
Rapidcare PLLC PastSince Sep 30, 2004 Accepting new patients

Locations

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

4100 S River Rd
East China, MI 48054
Phone (810) 329-6677

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

17717 Masonic
Fraser, MI 48026
Phone (586) 294-0600

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

2110 S M 76
Ste 1
West Branch, MI 48661
Phone (989) 516-5074

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

Organizations & group practices 6

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417997560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18161 W 13 MILE RD",
            "address_2": "SUIOTE A-2",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761113",
            "telephone_number": "248-642-9893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18161 W 13 MILE RD",
            "address_2": "SUIOTE A-2",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761113",
            "telephone_number": "248-642-9893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLITO",
        "first_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101012882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.