Individual provider Active NPI

Michael James Coleman Jr., M.D.

  • Ophthalmology Physician
  • Detroit, MI
National Provider Identifier
1598085979
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301096129 Issued in MI
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

Updated by the provider on Jun 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170915001243 IN Practitioner - Ophthalmology 8820239478 Reassigns benefits to 1 organization
I20190726001820 OH Practitioner - Ophthalmology 8820239478 Reassigns benefits to 1 organization

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
Midwest Eye Consultants PCGroup PAC ID 2961399217, 71 clinicians

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 Hospital, Mishawaka, IN, CCN 150012

Merit-based Incentive Payment System (MIPS)

Final score
55.99 of 100Reported as group
Quality
31.67
Improvement activities
40
Cost
78.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301096129MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Eye Consultants, P.C. CurrentSince Oct 30, 2017 Accepting new patients
Midwest Eye Consultants Ohio, Inc Ophthalmology CurrentSince Jul 1, 2019 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.