Individual provider Active NPI

George S Miguel, D.O.

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • Troy, MI
National Provider Identifier
1487894754
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianTaxonomy code 2082S0099X
License
5101018395 Issued in MI
Practice address
85 E Big Beaver Rd
Troy, MI 48083-1262
Phone
(586) 779-3030
NPI assigned
Feb 26, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X 5101018395 MI Primary

Addresses

Primary practice location

85 E Big Beaver Rd
Troy, MI 48083-1262

Mailing address

85 E Big Beaver Rd
Troy, MI 48083-1262
Phone (586) 779-3030

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
I20151216001943 MI Practitioner - Plastic and Reconstructive SurgeryPractitioner - Otolaryngology 2668773664 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Otolaryngology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
H2 Dermatology PLLCGroup PAC ID 9739510348, 13 clinicians
Renaissance Plastic Surgery, P.C.Group PAC ID 3476578840, 3 clinicians

Practice addresses (Care Compare)

5120 Midland Rd
Saginaw, MI 48603-9601
Phone (989) 401-1463

6225 Jefferson Ave
Midland, MI 48640-3900
Phone (989) 401-1463

85 E Big Beaver Rd
Renaissance Plastic Surgery
Troy, MI 48083-1262
Phone (586) 779-3030

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision134

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose and Throat Consultants PC CurrentSince Nov 1, 2022 Accepting new patients

Locations

26850 Providence Pkwy
Ste 165
Novi, MI 48374

29201 Telegraph Rd
Ste 500
Southfield, MI 48034

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1487894754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 E BIG BEAVER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831262",
            "telephone_number": "586-779-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 E BIG BEAVER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831262",
            "telephone_number": "586-779-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGUEL",
        "first_name": "GEORGE",
        "middle_name": "S",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-26",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "MI",
            "license": "5101018395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.