Individual provider Active NPI

Patrick Michael Hurley, M.D.

  • Urology Physician
  • Southfield, MI
National Provider Identifier
1508819681
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
4301063189 Issued in MI
Practice address
22250 Providence Dr
Suite 203
Southfield, MI 48075-4825
Phone
(248) 569-4897
Fax
(248) 569-5226
NPI assigned
May 18, 2006
Last updated
Jan 15, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 4301063189 MI Primary

Addresses

Primary practice location

22250 Providence Dr
Suite 203
Southfield, MI 48075-4825

Mailing address

16024 Weatherfield Dr
Northville, MI 48168-2356
Phone (734) 420-3363

Other identifiers 1

IdentifierTypeStateIssuer
4140986MedicaidMI

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
I20040701000249 MI Practitioner - Urology 4981680329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Minnesota Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

22250 Providence Dr
Suite 210
Southfield, MI 48075-6210
Phone (248) 569-4897

27900 Grand River Ave
Suite 220
Farmington Hills, MI 48336-5965
Phone (248) 477-0552

32255 Northwestern Hwy
Farmington Hills, MI 48334-1575

32255 Northwestern Hwy 135
Mi Healthcare Prof. PC
Farmington Hills, MI 48334-1575
Phone (947) 228-5500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection29
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301063189MIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC CurrentSince Jan 1, 2012 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Jan 1, 2012 Accepting new patients

Locations

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

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

32255 Northwestern Hwy
Ste 105
Farmington Hills, MI 48334
Phone (248) 406-1090

26850 Providence Pkwy
Ste 360
Novi, MI 48374
Phone (248) 319-3000

26850 Providence Pkwy
Ste 130
Novi, MI 48374
Phone (248) 569-4897

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

22250 Providence Dr
Ste 210
Southfield, MI 48075
Phone (248) 483-8488

Interoperability endpoints

  • Direct secure messaging: patrick.hurley.1@18740.direct.athenahealth.com
  • Direct secure messaging: phurley1132770@direct.hfhs.org

Organizations & group practices 2

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.

Hospital & facility affiliations 7

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263513600000",
    "number": "1508819681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16024 WEATHERFIELD DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481682356",
            "telephone_number": "734-420-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22250 PROVIDENCE DR",
            "address_2": "SUITE 203",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754825",
            "telephone_number": "248-569-4897",
            "fax_number": "248-569-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLEY",
        "first_name": "PATRICK",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2010-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "4301063189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4140986",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.