Mitchell B Hollander, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

4301060214 Issued in MI

Practice address

6900 Orchard Lake Rd Ste 300
West Bloomfield, MI 48322-3405

Phone

(248) 539-9036

Fax

(248) 539-9267

NPI assigned

Apr 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

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

Merit-based Incentive Payment System (MIPS)

Final score

83.86 of 100Reported as group

Quality

81.01

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Alliance Physician Services of Michigan, P.C.

  dba Michigan Institute of Urology

  • Urology Physician
  • Saint Clair Shores, MI
  • NPI 1427027416
  Medicare reassignment NPD
• Beaumont Medical Group- Specialty Services

  • Surgery Physician
  • Royal Oak, MI
  • NPI 1578072906
  Medicare reassignment NPD
• Michigan Institute of Urology PC

  dba Michigan Institute of Urology

  • Durable Medical Equipment & Medical Supplies
  • Utica, MI
  • NPI 1922999051

  Urology

  NPD Authorized official
• Urological Services, PLLC

  • Urology Physician
  • Flint, MI
  • NPI 1780631325
  NPD (past) Authorized official
• Alliance Physician Services of Michigan, P.C.

  dba Michigan Institute of Urology

  • Durable Medical Equipment & Medical Supplies
  • West Bloomfield, MI
  • NPI 1699547588

  Urology

  NPD
• Hall Road ASC LLC

  dba Michigan Surgical Utica

  • Ambulatory Surgical Clinic/Center
  • Utica, MI
  • NPI 1588285050
  NPD
• Town Center ASC PLLC

  • Ambulatory Surgical Clinic/Center
  • Troy, MI
  • NPI 1033466933
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1487619458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20952 E 12 MILE RD",
            "address_2": "SUITE 200",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "480813200",
            "telephone_number": "586-771-4820",
            "fax_number": "586-771-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 ORCHARD LAKE RD STE 300",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223405",
            "telephone_number": "248-539-9036",
            "fax_number": "248-539-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLANDER",
        "first_name": "MITCHELL",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "4301060214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "01004454",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "102142",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2389324001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "F31238",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4592173",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340006536",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Joanna Hofmann, M.A. CCC-SLP
• Christine Joan Hogan-Henk, M.A.
• Shiva Hogugi, DDS
• Sean Patrick Hohl, N.P.
• Isabel B Holland-Davis, MD
• Holly Tacey Psychological Services P.L.L.C. (Allay Wellness Center)
• Candace Naomi Delisa Holmes, D.C.
• Brittani Leann Holsbeke, FNP-C
• Michael Homer
• Horizon Healthcare Group, PLLC

• Urology Physician in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Urology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.