NPIMap

Individual provider Active NPI

Michael Adelard Carron, M.D.

  • Otolaryngology Physician
  • Dearborn, MI
National Provider Identifier
1568670156
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
4301080650 Issued in MI
Practice address
5250 Auto Club Dr Ste 290a
Dearborn, MI 48126-2619
Phone
(313) 448-9220
NPI assigned
May 18, 2007
Last updated
Dec 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 4301080650 MI Primary
Facial Plastic Surgery Physician 207YS0123X 4301080650 MI

Addresses

Primary practice location

5250 Auto Club Dr Ste 290a
Dearborn, MI 48126-2619

Mailing address

400 Mack Ave.
Credentialing Dept.
Detroit, MI 48201-2136
Phone (313) 448-9006

Other practice location 1

18101 Oakwood Blvd
Suite 402
Dearborn, MI 48124-4089
Phone (313) 253-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080628000110 MI Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 5496827941 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
University of Michigan Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McLaren MacombGroup PAC ID 8921912791, 131 clinicians
University Physician GroupGroup PAC ID 8628087681, 399 clinicians

Practice addresses (Care Compare)

1000 Harrington St
Mount Clemens, MI 48043-2920
Phone (810) 493-8000

18100 Oakwood Blvd
Suite 300
Dearborn, MI 48124-4085
Phone (313) 240-4900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301080650MIMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Medical Group CurrentSince Dec 8, 2020 Accepting new patients
Barbara Ann Karmanos Cancer Institute CurrentSince Jan 1, 2024 Accepting new patients
McLaren Medical Group CurrentSince Dec 8, 2020 Accepting new patients
Barbara Ann Karmanos Cancer Institute CurrentSince Jan 1, 2024 Accepting new patients
McLaren Macomb CurrentSince May 4, 2024 Accepting new patients
University Physician Group Otolaryngology CurrentSince Jul 1, 2008 Accepting new patients
University Physician Group PastSince Aug 1, 2014 Accepting new patients
University Physician Group Past Accepting new patients

Locations

32901 23 Mile Rd
Ste 120
Chesterfield, MI 48047
Phone (586) 725-4604

37399 Garfield Rd
Ste 203
Clinton Twp, MI 48036
Phone (586) 228-2911

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

18100 Oakwood Blvd
Ste 300
Dearborn, MI 48124
Phone (313) 240-4900

18101 Oakwood Blvd
Ste 402
Dearborn, MI 48124
Phone (313) 253-0800

5250 Auto Club Dr
Ste 290A
Dearborn, MI 48126
Phone (313) 448-9220

400 Mack Ave
Detroit, MI 48201
Phone (313) 448-9006

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

31995 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 538-4701

1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727

1135 W University Dr
Ste 440
Rochester Hls, MI 48307
Phone (248) 218-5557

26400 W 12 Mile Rd
Ste 111
Southfield, MI 48034
Phone (248) 357-4151

1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200

Interoperability endpoints

  • Direct secure messaging: mcarron@direct.dmc.org
  • Direct secure messaging: michael.carron.1@19711.direct.athenahealth.com

Organizations & group practices 8

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 9

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1568670156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MACK AVE.",
            "address_2": "CREDENTIALING DEPT.",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012136",
            "telephone_number": "313-448-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 AUTO CLUB DR STE 290A",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262619",
            "telephone_number": "313-448-9220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18101 Oakwood Blvd",
            "address_2": "Suite 402",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481244089",
            "country_code": "US",
            "telephone_number": "313-253-0800",
            "fax_number": "313-577-8555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRON",
        "first_name": "MICHAEL",
        "middle_name": "ADELARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301080650",
            "primary": true
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "MI",
            "license": "4301080650",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.