Individual provider Active NPI

Michael W Schafer, M.D.

  • Family Medicine Physician
  • Portland, MI
National Provider Identifier
1629018635
Registry record updated Oct 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301070253 Issued in MI
Practice address
406 Kent St
Portland, MI 48875-1707
Phone
(517) 647-4166
Fax
(517) 647-2473
NPI assigned
Jun 7, 2006
Last updated
Oct 8, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2009

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 4301070253 MI Primary

Addresses

Primary practice location

406 Kent St
Portland, MI 48875-1707

Mailing address

406 Kent St
Portland, MI 48875-1707
Phone (517) 647-4166

Other identifiers 10

IdentifierTypeStateIssuer
0803400412OtherMIBCBS/BCN
0M21440028OtherMIMEDICARE ADVANTAGE
1008612OtherMIMCLAREN HEALTH PLAN-COMMERCIAL
1008612OtherMIMCLAREN HEALTH PLAN-MEDICAID
7182486OtherMIAETNA
4522012MedicaidMI
P00053237OtherMIRAILROAD MEDICARE
200000002664OtherMIPHP
200000002664OtherMIPHP FAMILYCARE
1008612OtherMIMCLAREN HEALTH ADVANTAGE

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
I20100119000762 MI Practitioner - Family Practice 5698817351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Michigan Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Medical GroupGroup PAC ID 3971416082, 240 clinicians

Practice addresses (Care Compare)

935 Charlevoix Dr
Suite 200
Grand Ledge, MI 48837-2293
Phone (517) 913-4043

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Medical Group CurrentSince Jan 30, 2023 Accepting new patients
McLaren Medical Group Family Medicine CurrentSince Jan 30, 2023 Accepting new patients
McLaren Greater Lansing Family Medicine CurrentSince Sep 9, 2019 Accepting new patients
McLaren Medical Group Family Medicine Past Accepting new patients

Locations

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

12805 Escanaba Dr
Ste 1
Dewitt, MI 48820
Phone (517) 913-3930

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

6900 E Saginaw Hwy
Ste 130
Grand Ledge, MI 48837
Phone (517) 975-2040

935 Charlevoix Dr
Ste 200
Grand Ledge, MI 48837
Phone (517) 913-4043

1540 Lake Lansing Rd
Ste 107
Lansing, MI 48912
Phone (517) 913-3800

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

6465 Millennium
Ste 100
Lansing, MI 48917
Phone (517) 975-3720

809 W Dryden Rd
Metamora, MI 48455
Phone (810) 678-4000

406 Kent St
Portland, MI 48875
Phone (517) 647-4166

Organizations & group practices 4

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 4

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254960000000",
    "number": "1629018635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 KENT ST",
            "city": "PORTLAND",
            "state": "MI",
            "postal_code": "488751707",
            "telephone_number": "517-647-4166",
            "fax_number": "517-647-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 KENT ST",
            "city": "PORTLAND",
            "state": "MI",
            "postal_code": "488751707",
            "telephone_number": "517-647-4166",
            "fax_number": "517-647-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFER",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2009-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301070253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/BCN",
            "identifier": "0803400412",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ADVANTAGE",
            "identifier": "0M21440028",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN-COMMERCIAL",
            "identifier": "1008612",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN-MEDICAID",
            "identifier": "1008612",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7182486",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4522012",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00053237",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "200000002664",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP FAMILYCARE",
            "identifier": "200000002664",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH ADVANTAGE",
            "identifier": "1008612",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, MI

Sources for this page

Verify at the official NPI Registry.