Active NPI
Michael James Coleman Jr., M.D.
- Ophthalmology Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4301096129
- Practice address
- 4717 Saint Antoine St
Detroit, MI 48201-1423 - Phone
- (313) 577-1320
- NPI assigned
- Jun 8, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 4301096129 | MI | Primary |
Addresses
Primary practice location
4717 Saint Antoine St
Detroit, MI 48201-1423
Mailing address
14950 Arcola St
Livonia, MI 48154-3965
Phone (713) 703-0777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Texas Southwestern Medical School at Dallas, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7747 W Jefferson Blvd
Suite a
Fort Wayne, IN 46804-4135
Phone (260) 459-8444
Hospital & facility affiliations
- Saint Joseph Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 55.99 of 100
- Quality
- 31.67
- Improvement activities
- 40
- Cost
- 78.58
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1017 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301096129 | MI | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Eye Consultants, P.C. | Current | Accepting new patients | |
| Midwest Eye Consultants Ohio, Inc | Ophthalmology | Current | Accepting new patients |
| Midwest Eye Consultants, P.C. | Past | Accepting new patients | |
| Midwest Eye Consultants P.C. | Past | Accepting new patients | |
| Midwest Eye Consultants, P.C. | Ophthalmology | Past | Accepting new patients |
Locations
7747 W Jefferson Blvd
#A
Fort Wayne, IN 46804
Phone (260) 459-8444
3509 Briarfield Blvd
Maumee, OH 43537
Phone (419) 865-3566
2740 Navarre Ave
Oregon, OH 43616
Phone (419) 697-3616
2740 Navarre Ave
#351
Oregon, OH 43616
1814 W Laskey Rd
Toledo, OH 43613
Interoperability endpoints
- mcoleman1147732@direct.trinity-health.org
Organizations & group practices 6
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.
-
- Ophthalmology Physician
- Fort Wayne, IN
- NPI 1912960535
-
- Optometrist
- Shipshewana, IN
- NPI 1952607780
-
- Optometrist
- Crown Point, IN
- NPI 1134641202
-
- Optometrist
- Chesterton, IN
- NPI 1023066784
-
- Ophthalmology Physician
- Fort Wayne, IN
- NPI 1366199192
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1023965795
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1841245594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275955200000",
"number": "1598085979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14950 ARCOLA ST",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481543965",
"telephone_number": "713-703-0777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4717 SAINT ANTOINE ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482011423",
"telephone_number": "313-577-1320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-08",
"last_updated": "2010-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MI",
"license": "4301096129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.