Individual provider Active NPI

Chad Walter Mayer, DO

  • Allergy Physician
  • Farmington Hills, MI
National Provider Identifier
1467423855
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
5101013420 Issued in MI
Practice address
27655 Middlebelt Rd Ste 100
Farmington Hills, MI 48334-5029
Phone
(248) 363-3232
Fax
(248) 363-3455
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 5101013420 MI
Allergy Physician 207KA0200X 5101013420 MI Primary

Addresses

Primary practice location

27655 Middlebelt Rd Ste 100
Farmington Hills, MI 48334-5029

Mailing address

7010 Pontiac TRL
Suite B
West Bloomfield, MI 48323-2017
Phone (248) 363-3232

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
I20060801000115 MI Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 8628081056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
Michigan State University College of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy and Asthma Institute of SE MichiganGroup PAC ID 9931279692, 3 clinicians

Practice addresses (Care Compare)

27655 Middlebelt Rd
Suite 100
Farmington Hills, MI 48334-5029
Phone (248) 363-3232

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101013420MIMDAllergy Physician

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABECBD/Endpoint/ABECBD
  • Direct secure messaging: chad.mayer@aaisemi.eclinicaldirectplus.com
  • Direct secure messaging: cmayer1140615@direct.hfhs.org

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1467423855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 PONTIAC TRL",
            "address_2": "SUITE B",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232017",
            "telephone_number": "248-363-3232",
            "fax_number": "248-363-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27655 MIDDLEBELT RD STE 100",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483345029",
            "telephone_number": "248-363-3232",
            "fax_number": "248-363-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "CHAD",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "5101013420",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MI",
            "license": "5101013420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.