Active NPI
Bethany Clary, M.D.
- Family Medicine Physician
- Novi, MI
National Provider Identifier
1598732257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301055840
- Practice address
- 28455 Haggerty Rd
Suite 100
Novi, MI 48377-2906 - Phone
- (248) 553-2200
- Fax
- (248) 553-2201
- NPI assigned
- Mar 1, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301055840 | MI | Primary |
Addresses
Primary practice location
28455 Haggerty Rd
Suite 100
Novi, MI 48377-2906
Mailing address
28455 Haggerty Rd
Suite 100
Novi, MI 48377-2906
Phone (248) 553-2200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4619371 | Medicaid | MI |
Other names 1
- M. Bethany Clary
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Wayne State University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
28455 Haggerty Rd
Suite 100
Novi, MI 48377-2982
Phone (248) 553-2200
Hospital & facility affiliations
- Henry Ford Home Health Care
- Optimal Care Home Health
- Ascension Providence Hospital, Southfield and Novi
- Henry Ford Health West Bloomfield Hospital
- Henry Ford Health Hospital
- University of Michigan Health System
- Huron Valley-Sinai Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Semi Medical Group | Family Medicine | Current | Accepting new patients |
Locations
33523 8 Mile Rd
Ste M2
Livonia, MI 48152
Phone (248) 824-2675
37595 7 Mile Rd
Ste 210
Livonia, MI 48152
Phone (734) 432-7282
28455 Haggerty Rd
Ste 100
Novi, MI 48377
Phone (248) 553-2200
Interoperability endpoints
- bclary57230@direct.hfhs.org
Organizations & group practices 1
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 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Novi, MI
- NPI 1144210253
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- General Acute Care Hospital
- West Bloomfield, MI
- NPI 1407867559
-
- Home Health Agency
- Detroit, MI
- NPI 1932162096
-
- Home Health Agency
- Bingham Farms, MI
- NPI 1588697841
-
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
-
- General Acute Care Hospital
- Commerce Township, MI
- NPI 1922310200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300924800000",
"number": "1598732257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28455 HAGGERTY RD",
"address_2": "SUITE 100",
"city": "NOVI",
"state": "MI",
"postal_code": "483772906",
"telephone_number": "248-553-2200",
"fax_number": "248-553-2201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28455 HAGGERTY RD",
"address_2": "SUITE 100",
"city": "NOVI",
"state": "MI",
"postal_code": "483772906",
"telephone_number": "248-553-2200",
"fax_number": "248-553-2201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARY",
"first_name": "BETHANY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-01",
"last_updated": "2011-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301055840",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4619371",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "M.",
"last_name": "CLARY",
"middle_name": "BETHANY",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.