Individual provider Active NPI

Fallon Kapatais, M.D

  • Family Medicine Physician
  • Novi, MI
National Provider Identifier
1477811925
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301100316 Issued in MI
Practice address
40015 Grand River Ave Ste 100
Novi, MI 48375-2160
Phone
(248) 473-8580
Fax
(248) 474-4208
NPI assigned
May 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301100316 MI Primary

Addresses

Primary practice location

40015 Grand River Ave Ste 100
Novi, MI 48375-2160

Mailing address

40015 Grand River Ave Ste 100
Novi, MI 48375-2160
Phone (248) 473-8580

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fallonkapatais@migra.allscriptsdirect.net

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
I20150826001447 MI Practitioner - Family Practice 0941529101 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Therapy Centers, Inc 140 clinicians
Michigan Healthcare Professionals PC 525 clinicians

Practice addresses (Care Compare)

33010 Northwestern Hwy
West Bloomfield, MI 48322-3634

5821 W Maple Rd
Suite 190
West Bloomfield, MI 48322-2275
Phone (248) 855-0407

Hospital & facility affiliations

  • Optimal Care Home Health Home health agency, Bingham Farms, MI, CCN 237504
  • Parc Home Care Home health agency, Farmington Hills, MI, CCN 239272
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151
  • Henry Ford Health West Bloomfield Hospital Hospital, W Bloomfield, MI, CCN 230302
  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC CurrentSince Jan 1, 2023 Accepting new patients
Henry Ford Health Genesys Hospital Current Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Jan 1, 2023 Accepting new patients
Lakeside Urgent Care, P.C. CurrentSince Dec 21, 2021 Accepting new patients
Lakeside Urgent Care, P. C. CurrentSince Dec 21, 2021 Accepting new patients
Ascension Genesys Hospital CurrentSince Aug 1, 2017 Accepting new patients
Somerset Urgent Care PLLC CurrentSince Dec 22, 2021 Accepting new patients
Oxford Urgent Care P L C CurrentSince Dec 21, 2021 Accepting new patients
Romeo Plank Urgent Care PLLC CurrentSince Dec 21, 2021 Accepting new patients
Michigan Healthcare Professionals PC Family Medicine Current Accepting new patients
Washington Urgent Care, PLLC CurrentSince Dec 22, 2021 Accepting new patients
Somerset Urgent Care PLLC Family Medicine CurrentSince Dec 22, 2021 Accepting new patients
Henry Ford Health Genesys Hospital Family Medicine CurrentSince Aug 1, 2017 Accepting new patients
Royal Urgent Care, PLLC Family Medicine CurrentSince Dec 22, 2021 Accepting new patients
Elizabeth Lake Urgent Care PLLC CurrentSince Dec 21, 2021 Accepting new patients
Telemed Consultants PLLC Past Accepting new patients
First Choice Urgent Care PC PastSince Dec 21, 2021 Accepting new patients

Locations

1460 N Center Rd
Burton, MI 48509
Phone (810) 424-2011

44472 Hayes Rd
Clinton Twp, MI 48038
Phone (586) 412-0890

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

420 S Saginaw St
Flint, MI 48502
Phone (810) 232-3522

18200 23 Mile Rd
Macomb, MI 48044
Phone (586) 992-5500

72 S Washington St
Ste 102
Oxford, MI 48371
Phone (248) 236-8333

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

2708 S Rochester Rd
Ste A
Rochester Hills, MI 48307
Phone (248) 309-3344

2632 S Rochester Rd
Unit 70747
Rochester Hills, MI 48307

4080 Crooks Rd
Royal Oak, MI 48073
Phone (248) 280-1080

1500 W Big Beaver Rd
Ste 104
Troy, MI 48084
Phone (248) 649-4444

31200 Mound Rd
Warren, MI 48092
Phone (248) 850-8395

7701 26 Mile Rd
Washington, MI 48094
Phone (586) 935-4000

2446 Elizabeth Lake Rd
Waterford, MI 48328
Phone (248) 309-3344

5821 W Maple Rd
Ste 190
West Bloomfield, MI 48322
Phone (248) 855-0407

Interoperability endpoints

  • Direct secure messaging: fkapatais847174@direct.hfhs.org
  • FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1477811925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40015 GRAND RIVER AVE STE 100",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752160",
            "telephone_number": "248-473-8580",
            "fax_number": "248-474-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40015 GRAND RIVER AVE STE 100",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752160",
            "telephone_number": "248-473-8580",
            "fax_number": "248-474-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPATAIS",
        "first_name": "FALLON",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301100316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fallonkapatais@migra.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1460 N Center Rd",
            "city": "Burton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485091429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.