Individual provider Active NPI

Jeffrey Morris Hotaling, M.D.

  • Otolaryngology Physician
  • Southfield, MI
National Provider Identifier
1649596800
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
4301113636 Issued in MI
Practice address
26400 W 12 Mile Rd Ste 111
Southfield, MI 48034-1771
Phone
(248) 357-4151
Fax
(248) 357-0229
NPI assigned
Apr 13, 2010
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 4301113636 MI Primary
Otolaryngology Physician 207Y00000X MD454807 PA
Otolaryngology Physician 207Y00000X 303189 LA

Addresses

Primary practice location

26400 W 12 Mile Rd Ste 111
Southfield, MI 48034-1771

Mailing address

1560 E Maple Rd
Ste 400 - Credentialing Dept
Troy, MI 48083-1135
Phone (248) 581-5973

Other practice location 1

4100 John R
Karmanos Cancer Center - Wertz Clinic
Detroit, MI 48201-2013
Phone (800) 527-6266

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
I20180115000498 MI Practitioner - Otolaryngology 5890008247 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Northwestern University Feinberg Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren MacombGroup PAC ID 8921912791, 131 clinicians
McLaren Central MichiganGroup PAC ID 6103733092, 183 clinicians

Practice addresses (Care Compare)

1000 Harrington St
Mount Clemens, MI 48043-2920
Phone (810) 493-8000

1080 Harrington St
Suite 202
Mount Clemens, MI 48043-2903
Phone (586) 493-3440

37399 Garfield Rd
Clinton Township, MI 48036-3672

4100 John R St
Detroit, MI 48201-2013
Phone (800) 527-6266

560 W Mitchell St
Suite 185
Petoskey, MI 49770-2296
Phone (231) 487-3295

5680 Bow Pointe Dr
Suite 101
Clarkston, MI 48346-5407
Phone (248) 922-6610

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux15
Melanoma (skin cancer) excision37
Removal of tissue14
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
303189LAMDOtolaryngology Physician
4301113636MIMDOtolaryngology Physician
MD454807PAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Medical Group CurrentSince Dec 31, 2020 Accepting new patients
Barbara Ann Karmanos Cancer Institute CurrentSince Jul 26, 2021 Accepting new patients
McLaren Central Michigan Current Accepting new patients
McLaren Flint CurrentSince Sep 1, 2021 Accepting new patients
McLaren Medical Group CurrentSince Dec 31, 2020 Accepting new patients
McLaren Flint CurrentSince Sep 1, 2021 Accepting new patients
Barbara Ann Karmanos Cancer Institute CurrentSince Jul 26, 2021 Accepting new patients
McLaren Macomb CurrentSince Sep 29, 2021 Accepting new patients
University Physician Group Otolaryngology CurrentSince Dec 15, 2017 Accepting new patients
McLaren Flint Current Accepting new patients
McLaren Central Michigan CurrentSince Apr 29, 2024 Accepting new patients
McLaren Central Michigan CurrentSince Apr 29, 2024 Accepting new patients
Barbara Ann Karmanos Cancer Hospital Past Accepting new patients
McLaren Macomb Past Accepting new patients
University Physician Group Past Accepting new patients
Barbara Ann Karmanos Cancer Institute Past Accepting new patients

Locations

32901 23 Mile Rd
Ste 120
Chesterfield, MI 48047
Phone (586) 725-4604

5680 Bow Pointe Dr
Clarkston, MI 48346
Phone (248) 620-9600

5680 Bow Pointe Dr
Ste 101
Clarkston, MI 48346
Phone (248) 922-6610

37399 Garfield Rd
Ste 203
Clinton Twp, MI 48036
Phone (586) 228-2911

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

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

31995 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 538-4701

2420 Owen Rd
Ste A
Fenton, MI 48430
Phone (810) 496-2460

1314 S Linden Rd
Flint, MI 48532
Phone (810) 342-1700

1314 S Linden Rd
Ste Abc
Flint, MI 48532
Phone (810) 342-1700

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

4100 Beecher Rd
Ste A
Flint, MI 48532
Phone (810) 342-3800

5979 Lakeshore Rd
Fort Gratiot, MI 48059
Phone (810) 385-6370

1254 N Main St
Lapeer, MI 48446
Phone (810) 664-4531

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

1080 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-7500

1080 Harrington St
Ste 201
Mount Clemens, MI 48043
Phone (586) 493-7575

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

560 W Mitchell St
Ste 185
Petoskey, MI 49770
Phone (231) 487-3217

26400 W 12 Mile Rd
Ste 111
Southfield, MI 48034
Phone (248) 357-4151

29201 Telegraph Rd
Ste 500
Southfield, MI 48034

1560 E Maple Rd
Ste 400
Troy, MI 48083

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 7

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": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1649596800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 E MAPLE RD",
            "address_2": "STE 400 - CREDENTIALING DEPT",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831135",
            "telephone_number": "248-581-5973",
            "fax_number": "248-581-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26400 W 12 MILE RD STE 111",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341771",
            "telephone_number": "248-357-4151",
            "fax_number": "248-357-0229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 John R",
            "address_2": "Karmanos Cancer Center - Wertz Clinic",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012013",
            "country_code": "US",
            "telephone_number": "800-527-6266",
            "fax_number": "313-576-8381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOTALING",
        "first_name": "JEFFREY",
        "middle_name": "MORRIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301113636",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD454807",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": "303189",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.