Individual provider Active NPI

John Morasso, D.O.

  • Sports Medicine (Family Medicine) Physician
  • West Bloomfield, MI
National Provider Identifier
1639583206
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
5315088343 Issued in MI
Practice address
6525 West Maple Rd.
Ste 101 E
West Bloomfield, MI 48322-4930
Phone
(248) 489-4410
NPI assigned
Jun 11, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 5101021238 MI
Family Medicine Physician 207Q00000X 5101021238 MI
Sports Medicine (Family Medicine) Physician 207QS0010X 5315088343 MI Primary

Addresses

Primary practice location

6525 West Maple Rd.
Ste 101 E
West Bloomfield, MI 48322-4930

Mailing address

130 Town Center Dr Ste 203
Troy, MI 48084-1744

Other practice location 1

28100 Grand River Ave Ste 313
Professional Center South, Botsford Hospital Campus
Farmington Hills, MI 48336-5970
Phone (248) 615-7150

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
I20180824000607 MI Practitioner - Sports MedicinePractitioner - Family Practice 8527353374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHS Physicians of MichiganGroup PAC ID 8921289760, 219 clinicians

Practice addresses (Care Compare)

6525 W Maple Rdste
101E DMC Orthopaedic and Sports Medicine
West Bloomfield, MI 48322-4930
Phone (248) 489-4410

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.26 of 100Reported as group
Quality
64.16
Promoting interoperability
100
Improvement activities
40
Cost
73.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5315088343MIMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Physicians of Michigan CurrentSince Jan 6, 2020 Accepting new patients

Locations

1 William Carls Dr
Ste 120
Commerce Twp, MI 48382
Phone (248) 937-4947

1 William Carls Dr
Ste 230
Commerce Twp, MI 48382
Phone (248) 360-4507

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

11166 Highland Rd
Hartland, MI 48353
Phone (248) 455-0865

44000 W Twelve Mile Rd
Ste 100
Novi, MI 48377
Phone (248) 277-3560

6525 W Maple Rd
Ste 101E
West Bloomfield, MI 48322
Phone (248) 489-4410

Interoperability endpoints

  • Direct secure messaging: john.morasso.1@9704.direct.athenahealth.com

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 5

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": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1639583206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 TOWN CENTER DR STE 203",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480841744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 WEST MAPLE RD.",
            "address_2": "STE 101 E",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224930",
            "telephone_number": "248-489-4410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28100 Grand River Ave Ste 313",
            "address_2": "Professional Center South, Botsford Hospital Campus",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483365970",
            "country_code": "US",
            "telephone_number": "248-615-7150",
            "fax_number": "248-426-2473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORASSO",
        "first_name": "JOHN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-11",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MI",
            "license": "5101021238",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101021238",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MI",
            "license": "5315088343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.