Active NPI
Joseph Michael Failla, M.D.
- Orthopaedic Hand Surgery Physician
- Southfield, MI
National Provider Identifier
1447241716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- 4301056308
- Practice address
- 29829 Telegraph Rd
Suite 201
Southfield, MI 48034-1330 - Phone
- (248) 352-4263
- Fax
- (248) 352-2915
- NPI assigned
- Nov 4, 2005
- Last updated
- Feb 15, 2011
- 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 |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | 4301056308 | MI | Primary |
| Surgery of the Hand (Surgery) Physician | 2086S0105X | 4301056308 | MI |
Addresses
Primary practice location
29829 Telegraph Rd
Suite 201
Southfield, MI 48034-1330
Mailing address
PO Box 523
Jenison, MI 49429-0523
Phone (616) 457-4919
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 540F324290 | Other | MI | BCBS DME PIN |
| 4579089 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301056308 | MI | MD | Orthopaedic Hand Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidney Specialists of Michigan | Current | Accepting new patients | |
| DMC Orthopedic Billing Associates LLC | Past | Accepting new patients | |
| Klaus P. Kutschke, M.D., P.C. | Past | Accepting new patients |
Locations
29829 Telegraph Rd
Ste 201
Southfield, MI 48034
Phone (248) 352-4263
Interoperability endpoints
- jfailla1126476@direct.hfhs.org
- jfailla63529@direct.hfhs.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Hand Surgery Physician
- Southfield, MI
- NPI 1255482816
-
- Nephrology Physician
- Southfield, MI
- NPI 1942459805
-
dba DMC Billing Associates, LLC
- Orthopaedic Surgery Physician
- Detroit, MI
- NPI 1457387607
-
- Surgery Physician
- Manistee, MI
- NPI 1891883716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297728000000",
"number": "1447241716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 523",
"city": "JENISON",
"state": "MI",
"postal_code": "494290523",
"telephone_number": "616-457-4919",
"fax_number": "616-457-5261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29829 TELEGRAPH RD",
"address_2": "SUITE 201",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341330",
"telephone_number": "248-352-4263",
"fax_number": "248-352-2915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAILLA",
"first_name": "JOSEPH",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-04",
"last_updated": "2011-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "MI",
"license": "4301056308",
"primary": true
},
{
"code": "2086S0105X",
"taxonomy_group": "",
"desc": "Surgery, Surgery of the Hand",
"state": "MI",
"license": "4301056308",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS DME PIN",
"identifier": "540F324290",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4579089",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.