Active NPI
Ami Mac, M.D.
- Physical Medicine & Rehabilitation Physician
- Novi, MI
National Provider Identifier
1487963591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 4301092968
- Practice address
- 39475 Lewis Dr
Suite 200
Novi, MI 48377-2981 - Phone
- (248) 697-2880
- Fax
- (248) 856-2544
- NPI assigned
- Oct 7, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 4301092968 | MI | Primary |
Addresses
Primary practice location
39475 Lewis Dr
Suite 200
Novi, MI 48377-2981
Mailing address
201 Defense Hwy
Suite 205
Annapolis, MD 21401-8943
Phone (410) 571-2946
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Macomb Hospital Corporation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484006400000",
"number": "1487963591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 DEFENSE HWY",
"address_2": "SUITE 205",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214018943",
"telephone_number": "410-571-2946",
"fax_number": "410-571-2947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39475 LEWIS DR",
"address_2": "SUITE 200",
"city": "NOVI",
"state": "MI",
"postal_code": "483772981",
"telephone_number": "248-697-2880",
"fax_number": "248-856-2544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAC",
"first_name": "AMI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-07",
"last_updated": "2017-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MI",
"license": "4301092968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.