Individual provider Active NPI

Michael Bekkerman, DO

  • Medical Oncology Physician
  • Brighton, MI
National Provider Identifier
1669908737
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
5101027750 Issued in MI
Practice address
7575 Grand River Ave
Brighton, MI 48114
Phone
(734) 712-1000
Fax
(734) 712-1012
NPI assigned
May 10, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Medical Oncology Physician 207RX0202X 5101027750 MI Primary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X H0095562 MD
Hematology & Oncology Physician 207RH0003X 5101027750 MI

Addresses

Primary practice location

7575 Grand River Ave
Brighton, MI 48114

Mailing address

24 Frank Lloyd Wright Drive
Suite J2000
Ann Arbor, MI 48105
Phone (734) 747-6766

Other practice location 1

5601 Loch Raven Blvd
Baltimore, MD 21239-2945
Phone (443) 444-3991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230803001267 MD Practitioner - Hematology/OncologyPractitioner - Internal Medicine 1254675770 Reassigns benefits to 1 organization
I20240301001294 MI Practitioner - Internal MedicinePractitioner - HematologyPractitioner - Medical Oncology 1254675770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology/Oncology, Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iha Health Services CorporationGroup PAC ID 2466351440, 1,149 clinicians

Practice addresses (Care Compare)

128 Van Buren St
Chelsea, MI 48118-1623
Phone (734) 475-8677

2305 Genoa Bus Park Dr
Brighton, MI 48114-7005

36475 5 Mile Rd
Livonia, MI 48154-1971
Phone (734) 583-9125

44428 Woodward Ave
Suite 102
Pontiac, MI 48341-5009
Phone (734) 712-8700

51341 W Huron River Dr
Trinity Health Iha Medical Group Primary Ca
Van Buren Township, MI 48111-2571
Phone (734) 997-0304

5301 E Huron River Dr
Ypsilanti, MI 48197-1051

5301 McAuley Dr
Ypsilanti, MI 48197-1051

5303 Elliott Dr
Suite 202
Ypsilanti, MI 48197-8632
Phone (734) 712-2005

7575 Grand River Rd
Brighton, MI 48114-9309
Phone (734) 712-7255

Hospital & facility affiliations

  • Trinity Health Livingston Hospital Hospital, Howell, MI, CCN 230069
  • Trinity Health Ann Arbor Hospital Hospital, Ann Arbor, MI, CCN 230156
  • Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029
  • Chelsea Hospital Hospital, Chelsea, MI, CCN 230259
  • St Joe Mercy Hospital System Livonia Hospital, Livonia, MI, CCN 230002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0095562MDMDHematology & Oncology Physician
5101027750MIMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Health Services Corporation Multi-Specialty CurrentSince Mar 1, 2024 Accepting new patients
Medstar Medical Group II LLC Multi-Specialty CurrentSince Jun 18, 2023 Accepting new patients
Iha Health Service Corporation Multi-Specialty CurrentSince Mar 1, 2024 Accepting new patients
Iha Health Services Corporation Multi-Specialty Current Accepting new patients
Iha Health Services Corporation Multi-Specialty Past Accepting new patients
Medstar Medical Group II LLC Multi-Specialty Past Accepting new patients

Locations

3007 Tilden St NW
Ste 5N
Washington, DC 20008

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

9103 Franklin Square Dr
Ste 2200
Rosedale, MD 21237
Phone (443) 777-7147

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840

7575 Grand River Rd
Brighton, MI 48114
Phone (810) 844-7544

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

5303 Elliott Dr
Ypsilanti, MI 48197
Phone (734) 712-1000

Interoperability endpoints

  • Direct secure messaging: mbekkerman804524@direct.hfhs.org
  • Direct secure messaging: mbekkerman674405@direct.trinity-health.org

Organizations & group practices 6

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": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1669908737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DRIVE",
            "address_2": "SUITE J2000",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48105",
            "telephone_number": "734-747-6766",
            "fax_number": "734-222-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 GRAND RIVER AVE",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "48114",
            "telephone_number": "734-712-1000",
            "fax_number": "734-712-1012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5601 Loch Raven Blvd",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212392945",
            "country_code": "US",
            "telephone_number": "443-444-3991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEKKERMAN",
        "first_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-10",
        "last_updated": "2024-12-18",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MI",
            "license": "5101027750",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MD",
            "license": "H0095562",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "5101027750",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

Verify at the official NPI Registry.