Active NPI
Michael J. Dunn, M.D.
- Pulmonary Disease Physician
- Novi, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 049873
- Practice address
- 39450 W 12 Mile Rd
3Rd Floor
Novi, MI 48377-3600 - Phone
- (248) 344-2490
- Fax
- (248) 344-2492
- NPI assigned
- Dec 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 049873 | MI | |
| Pulmonary Disease Physician | 207RP1001X | 049873 | MI | Primary |
Addresses
Primary practice location
39450 W 12 Mile Rd
3Rd Floor
Novi, MI 48377-3600
Mailing address
39450 12 Mile Road
Henry Ford Health System
Novi, MI 48377
Phone (248) 344-2490
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD049873 | Other | CHAMPUS-CHAMPUS | |
| 290H264420 | Other | BLUE CROSS-BLUE CROSS | |
| MD049873 | Other | COMMERCIAL-COMMERCIAL NUMBER | |
| 190257310 | Medicaid | MI |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049873 | MI | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health System | Pulmonary Disease | Current | Accepting new patients |
| Henry Ford Health System | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients |
Locations
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953
39450 W Twelve Mile Rd
Novi, MI 48377
Phone (248) 344-0710
39450 W Twelve Mile Rd
Fl 3
Novi, MI 48377
Phone (313) 574-2152
Interoperability endpoints
- mdunn12856@direct.hfhs.org
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- Pulmonary Disease Physician
- Detroit, MI
- NPI 1790868297
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386806400000",
"number": "1437227972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39450 12 MILE ROAD",
"address_2": "HENRY FORD HEALTH SYSTEM",
"city": "NOVI",
"state": "MI",
"postal_code": "48377",
"telephone_number": "248-344-2490",
"fax_number": "248-344-2492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39450 W 12 MILE RD",
"address_2": "3RD FLOOR",
"city": "NOVI",
"state": "MI",
"postal_code": "483773600",
"telephone_number": "248-344-2490",
"fax_number": "248-344-2492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "MICHAEL",
"middle_name": "J.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2013-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MI",
"license": "049873",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MI",
"license": "049873",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS-CHAMPUS",
"identifier": "MD049873",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-BLUE CROSS",
"identifier": "290H264420",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL-COMMERCIAL NUMBER",
"identifier": "MD049873",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "190257310",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.