Individual provider Active NPI

Sean Patrick Coyle, MD

  • Family Medicine Physician
  • Livonia, MI
National Provider Identifier
1598736621
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
SC054043 Issued in MI
Practice address
19335 Merriman Rd
Livonia, MI 48152-1767
Phone
(248) 474-4900
Fax
(248) 474-3278
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X SC054043 MI Primary

Addresses

Primary practice location

19335 Merriman Rd
Livonia, MI 48152-1767

Mailing address

19335 Merriman Rd
Livonia, MI 48152-1767
Phone (248) 474-4900

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
I20101123000713 MI Practitioner - Family Practice 2163404302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Georgetown University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

19335 Merriman Rd
Livonia, MI 48152-1754
Phone (248) 474-4900

Hospital & facility affiliations

  • Trinity Health at Home- Southeast Michigan Home health agency, Livonia, MI, CCN 237069
  • Health Wise Home Health Care Home health agency, Lathrup Village, MI, CCN 237485
  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
  • St Joe Mercy Hospital System Livonia Hospital, Livonia, MI, CCN 230002
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053
  • University of Michigan Health System Hospital, Ann Arbor, MI, CCN 230046
  • Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020

Merit-based Incentive Payment System (MIPS)

Final score
41.44 of 100Reported as individual
Quality
36.01
Improvement activities
0
Cost
90.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SC054043MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizons Medical Center, PC Family Medicine CurrentSince May 15, 1997 Accepting new patients

Locations

19335 Merriman Rd
Livonia, MI 48152
Phone (248) 474-4900

Interoperability endpoints

  • Direct secure messaging: scoyle1123989@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 8

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1598736621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19335 MERRIMAN RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521767",
            "telephone_number": "248-474-4900",
            "fax_number": "248-474-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19335 MERRIMAN RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521767",
            "telephone_number": "248-474-4900",
            "fax_number": "248-474-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COYLE",
        "first_name": "SEAN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "SC054043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.