Health One Medical Center, Eastpointe LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301065258 Issued in MI

Legal business name

HEALTH ONE MEDICAL CENTER, EASTPOINTE LLC

Practice address

21501 Kelly Rd
Eastpointe, MI 48021-3213

Phone

(586) 776-4185

Fax

(586) 776-5132

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Satish R Mehta, MDNPI 1114960309

Title

President

Phone

(586) 776-4185

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Eastpointe Pediatrics Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Satish R Mehta, MD

  • Pediatrics Physician
  • Eastpointe, MI
  • NPI 1114960309
  Medicare reassignment Authorized official
• Ronald Y Barnett, DO

  • Geriatric Medicine (Internal Medicine) Physician
  • Livonia, MI
  • NPI 1760492011
  NPD (past)
• Jacqueline Marie Dunn-Bell, L.M.S.W.

  • Clinical Social Worker
  • Westland, MI
  • NPI 1558427104
  NPD (past)
• Julie Shaw

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1831549914
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523750400000",
    "number": "1669508917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21501 KELLY RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213213",
            "telephone_number": "586-776-4185",
            "fax_number": "586-776-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21501 KELLY RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213213",
            "telephone_number": "586-776-4185",
            "fax_number": "586-776-5132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12632 Dexter Ave",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482383340",
            "country_code": "US",
            "telephone_number": "313-868-7700",
            "fax_number": "313-868-0303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21225 Kelly Rd",
            "address_2": "Suite # 4",
            "address_purpose": "LOCATION",
            "city": "Eastpointe",
            "state": "MI",
            "postal_code": "480213100",
            "country_code": "US",
            "telephone_number": "586-776-4185",
            "fax_number": "586-776-5132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTH ONE MEDICAL CENTER, EASTPOINTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2018-04-15",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "SATISH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-776-4185",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301065258",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301065258",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4546847",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastpointe Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eastpointe Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ladonna Havard, REGISTERED NURSE
• D'Andra Latrice Hawkins, MEDICAL ASSISTANT
• Hcmsd
• Healing Everyone'S Low Points
• Healing Matters
• Lisa Christine Hearley, COTA
• Heart to Heart Heathcare
• Natalie Renee Hemingway, OTR
• Danielle Evette Henderson, BS
• Henry Ford Health System

• Pediatrics Physician in Eastpointe, MI
• Providers in Eastpointe, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.