Michael Roy Aulicino, MD
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Commerce Township, MI
NPI 1689614554 · NPPES record last updated Feb 9, 2016
Key facts
- NPI
- 1689614554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- 4301068065 (MI)
- Practice address
- Huron Valley Sinai Hospital Pathology
1 William Carls Dr
Commerce Township, MI 48382-1271 - Phone
- (248) 937-3435
- Fax
- (248) 937-5026
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Pathology
- Education
- University of Michigan Medical School, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Physician Group
Practice addresses (Care Compare)
1 Wiliam Carls Dr
Commerce Township, MI 48382-2201
Phone (248) 937-3300
Hospital & facility affiliations
- Huron Valley-Sinai Hospital
- Harper University Hospital
- Karmanos Cancer Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060630000077 | MI | Practitioner - Pathology | 4183636582 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Group | Anatomic Pathology & Clinical Pathology | Current |
Accepting new patients |
| University Physician Group | Current |
Accepting new patients |
Locations
1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500
6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
16001 W 9 Mile Rd
Fl 5
Southfield, MI 48075
Phone (248) 380-4335
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000
1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200
1560 E Maple Rd
Ste 400
Troy, MI 48083
Interoperability endpoints
- maulicin2@direct.dmc.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 4301068065 | MI | Yes |
Addresses
Primary practice location
Huron Valley Sinai Hospital Pathology
1 William Carls Dr
Commerce Township, MI 48382-1271
Mailing address
1560 E Maple Rd
Suite 400-Credentialing
Troy, MI 48083-1189
Phone (248) 581-5974
Other providers in Commerce Township, MI
- Jeremy Daniel Atkins
- Sara Atto
- Aubrey Grant Counseling LLC
- Marisa M Auernhamer
- Carol Leigh Auiler
- Ashley Austin
- Kelsey A Austin
- Avci Medical Center
- David Harold Averbach
- Aydin Turan, M.D. P.C.
All providers in Commerce Township, MI · Anatomic Pathology & Clinical Pathology Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.