Active NPI
Careconnectmd Michigan PC
- Geriatric Medicine (Internal Medicine) Physician
- Dearborn, MI
National Provider Identifier
1477288348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- Legal business name
- CARECONNECTMD MICHIGAN PC
- Practice address
- 3200 Greenfield Rd Ste 300
Dearborn, MI 48120-1805 - Phone
- (888) 789-9585
- Fax
- (562) 803-4500
- NPI assigned
- Jul 23, 2022
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Orlando Collado, MD
- Title
- Owner
- Phone
- (888) 789-9585
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 58
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Grand Rapids, MI
- NPI 1679089759
MI
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220804001935 | MI | Part B Supplier - Clinic/Group Practice | 4082096276 |
Receives reassigned benefits from 58 practitioners Practice locations: Dearborn, MI |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3200 Greenfield Rd Ste 300
Dearborn, MI 48120-1805
Mailing address
3090 Bristol St Ste 200
Costa Mesa, CA 92626-3061
Phone (888) 789-9585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 23, 2022.
{
"created_epoch": "1658534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658534400000",
"number": "1477288348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3090 BRISTOL ST STE 200",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926263061",
"telephone_number": "888-789-9585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 GREENFIELD RD STE 300",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481201805",
"telephone_number": "888-789-9585",
"fax_number": "562-803-4500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARECONNECTMD MICHIGAN PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-23",
"last_updated": "2022-07-23",
"certification_date": "2022-07-23",
"status": "A",
"authorized_official_last_name": "COLLADO",
"authorized_official_first_name": "ORLANDO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "888-789-9585",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.