Individual provider Active NPI

James Crowley Segerson, M.D.

  • Internal Medicine Physician
  • Dearborn, MI
National Provider Identifier
1467480186
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
048774 Issued in MI
Practice address
1 American Rd
Dearborn, MI 48126-2701
Phone
(313) 322-1131
Fax
(313) 845-8659
NPI assigned
Jun 29, 2006
Last updated
Mar 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 048774 MI Primary

Addresses

Primary practice location

1 American Rd
Dearborn, MI 48126-2701

Mailing address

1 American Rd
Dearborn, MI 48126-2701
Phone (313) 322-1131

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsegerson565535@direct.hfhs.org Henry Ford Wyandotte Hospital

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
I20160226000945 MI Practitioner - Internal Medicine 4688979719 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
048774MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary Mercy Physician Practices CurrentSince Feb 1, 2016 Accepting new patients
St Mary Mercy Physician Practices CurrentSince Feb 1, 2016 Accepting new patients
Ghazwan Atto MD PC Internal Medicine Past Accepting new patients

Locations

14555 Levan Rd
Ste 112
Livonia, MI 48154
Phone (734) 712-1000

14555 Levan Rd
Ste 403
Livonia, MI 48154
Phone (734) 462-4000

19000 St Joes Pkwy
Ste 310
Livonia, MI 48152
Phone (248) 743-4490

36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800

Interoperability endpoints

  • Direct secure messaging: jsegerson565535@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1467480186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 AMERICAN RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262701",
            "telephone_number": "313-322-1131",
            "fax_number": "313-845-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AMERICAN RD",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262701",
            "telephone_number": "313-322-1131",
            "fax_number": "313-845-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGERSON",
        "first_name": "JAMES",
        "middle_name": "CROWLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "048774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsegerson565535@direct.hfhs.org",
            "affiliation": "Y",
            "affiliationName": "Henry Ford Wyandotte Hospital",
            "address_1": "2333 Biddle St",
            "city": "Wyandotte",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481924668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.