Active NPI
Jeffrey Morris Hotaling, M.D.
- Otolaryngology Physician
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 4301113636
- 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, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- McLaren Macomb
- Karmanos Cancer Center
- Beaumont Hospital Royal Oak
- McLaren Oakland
- Beaumont Hospital, Troy
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 15 |
| Melanoma (skin cancer) excision | 37 |
| Removal of tissue | 14 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303189 | LA | MD | Otolaryngology Physician |
| 4301113636 | MI | MD | Otolaryngology Physician |
| MD454807 | PA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Medical Group | Current | Accepting new patients | |
| Barbara Ann Karmanos Cancer Institute | Current | Accepting new patients | |
| McLaren Central Michigan | Current | Accepting new patients | |
| McLaren Flint | Current | Accepting new patients | |
| McLaren Medical Group | Current | Accepting new patients | |
| McLaren Flint | Current | Accepting new patients | |
| Barbara Ann Karmanos Cancer Institute | Current | Accepting new patients | |
| McLaren Macomb | Current | Accepting new patients | |
| University Physician Group | Otolaryngology | Current | Accepting new patients |
| McLaren Flint | Current | Accepting new patients | |
| McLaren Central Michigan | Current | Accepting new patients | |
| McLaren Central Michigan | Current | 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.
-
- Mammography Clinic/Center
- Detroit, MI
- NPI 1225022288
-
- General Acute Care Hospital
- Mt Pleasant, MI
- NPI 1245266063
-
- Internal Medicine Physician
- Mount Clemens, MI
- NPI 1396014601
-
- General Practice Physician
- Flint, MI
- NPI 1275807372
-
- Family Medicine Physician
- Lapeer, MI
- NPI 1346396066
-
dba Wayne Health
- Internal Medicine Physician
- Detroit, MI
- NPI 1447299797
Otolaryngology
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Detroit, MI
- NPI 1386060226
-
- Family Medicine Physician
- Mt Pleasant, MI
- NPI 1710235775
-
- Rural Health Clinic/Center
- Gladwin, MI
- NPI 1841812989
-
- Social Worker
- Flint, MI
- NPI 1356480685
-
- Physician Assistant
- Flint, MI
- NPI 1700919628
-
- Diagnostic Radiology Physician
- Lapeer, MI
- NPI 1073650750
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1316900277
-
- Psychiatric Hospital Unit
- Shelby Township, MI
- NPI 1184206385
-
- General Acute Care Hospital
- Mount Clemens, MI
- NPI 1316938327
-
- General Acute Care Hospital
- Pontiac, MI
- NPI 1376564088
-
dba Beaumont Hospital, Troy
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
dba Beaumont Hospital, Royal Oak
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
dba Beaumont Hospital, Grosse Pointe
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
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
- Hospice of Michigan, Inc. (Hospice of Southeastern Michigan)
- Hospice Solutions, Inc (Metro Hospice Care)
- Hospital Consolidated Laboratories
- Naushin Hossain, M.D
- Semawon Hosu
- Nancy Houghton, D.O.
- Hour Transportation Management Inc (Hour Transportation)
- Intisar Fawaz Hourani, MD
- House Call Visiting Doctors PC
- House MDS PLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.