Individual provider Active NPI

Michael Casey-Palmisano, D.O.

  • Family Medicine Physician
  • Bingham Farms, MI
National Provider Identifier
1528321858
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101020093 Issued in MI
Practice address
31000 Telegraph Rd Ste 145
Bingham Farms, MI 48025-4324
Phone
(248) 885-8562
NPI assigned
Jun 21, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5101020093 MI
Family Medicine Physician 207Q00000X 5101020093 MI Primary

Addresses

Primary practice location

31000 Telegraph Rd Ste 145
Bingham Farms, MI 48025-4324

Mailing address

31000 Telegraph Rd Ste 145
Bingham Farms, MI 48025-4324
Phone (248) 885-8562

Other identifiers 1

IdentifierTypeStateIssuer
700E031610OtherMIBCBSM GROUP PIN

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
I20160203001625 MI Practitioner - Family Practice 8224332721 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101020093MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palms Medical PLLC Family Medicine CurrentSince Jan 17, 2021 Accepting new patients
Hillsdale Emergency Physicians, P.C. Emergency Medicine CurrentSince Jul 4, 2020 Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince May 12, 2018 Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients

Locations

31000 Telegraph Rd
Ste 145
Bingham Farms, MI 48025
Phone (248) 885-8562

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1528321858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31000 TELEGRAPH RD STE 145",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254324",
            "telephone_number": "248-885-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31000 TELEGRAPH RD STE 145",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254324",
            "telephone_number": "248-885-8562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASEY-PALMISANO",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101020093",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101020093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM GROUP PIN",
            "identifier": "700E031610",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

Verify at the official NPI Registry.