NPIMap

Individual provider Active NPI

Michael Dirkx, D.O.

  • Orthopaedic Surgery Physician
  • Mount Clemens, MI
National Provider Identifier
1427408582
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
5101022585 Issued in MI
Practice address
1000 Harrington St
Mount Clemens, MI 48043-2920
Phone
(586) 493-8000
NPI assigned
Jun 20, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 5101022585 MI Primary

Addresses

Primary practice location

1000 Harrington St
Mount Clemens, MI 48043-2920

Mailing address

1000 Harrington St
Mount Clemens, MI 48043-2920
Phone (586) 493-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20210609002749 IA Practitioner - Orthopedic Surgery 1759674443 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
St Anthony Regional Hospital and Nursing HomeGroup PAC ID 4688586829, shared by 8 NPIs, 49 clinicians
Sports Rehab and Professional Therapy Associates IncGroup PAC ID 1658289608, 124 clinicians

Practice addresses (Care Compare)

311 S Clark St
Carroll, IA 51401-3038
Phone (712) 792-3581

315 W 5TH St
Storm Lake, IA 50588-1743
Phone (712) 732-7724

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101022585MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Spencer Municipal Hospital Orthopaedic Surgery Current Accepting new patients
St Anthony Regional Hospital and Nursing Home CurrentSince Jun 10, 2022 Accepting new patients
St Anthony Regional Hospital and Nursing Home Current Accepting new patients
Spencer Municipal Hospital CurrentSince Aug 1, 2021 Accepting new patients
Spencer Municipal Hospital Orthopaedic Surgery CurrentSince Aug 1, 2021 Accepting new patients
Lakes Regional Healthcare Current Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
Buena Vista Regional Medical Center Orthopaedic Surgery CurrentSince Jan 8, 2022 Accepting new patients
Buena Vista Regional Medical Center CurrentSince Jan 8, 2022 Accepting new patients

Locations

311 S Clark St
Carroll, IA 51401
Phone (712) 792-3581

405 S Clark St
Ste 100
Carroll, IA 51401
Phone (712) 792-1500

1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164

1200 1st Ave E
Ste C
Spencer, IA 51301
Phone (712) 262-7511

1525 W 5th St
Storm Lake, IA 50588
Phone (712) 732-4030

Interoperability endpoints

  • Direct secure messaging: mjdirkx@cynchealthdsm.org
  • Direct secure messaging: mdirkx528007@direct.hfhs.org
  • Direct secure messaging: mdirkx329696@direct.unitypoint.org

Organizations & group practices 11

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": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1427408582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HARRINGTON ST",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432920",
            "telephone_number": "586-493-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HARRINGTON ST",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432920",
            "telephone_number": "586-493-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRKX",
        "first_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101022585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Clemens, MI

Sources for this page

Verify at the official NPI Registry.