Individual provider Active NPI

Patrice L Harold, MD

  • Obstetrics & Gynecology Physician
  • Southfield, MI
National Provider Identifier
1689630089
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
PH054677 Issued in MI
Practice address
29255 Northwestern Hwy Ste 301
Southfield, MI 48034
Phone
(248) 354-2201
Fax
(248) 354-2220
NPI assigned
Apr 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X PH054677 MI Primary

Addresses

Primary practice location

29255 Northwestern Hwy Ste 301
Southfield, MI 48034

Mailing address

29255 Northwestern Hwy Ste 301
Southfield, MI 48034-5742
Phone (248) 354-2201

Other practice location 1

29275 Northwestern Hwy
#207
Southfield, MI 48034
Phone (248) 354-2201

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
I20040405000149 MI Practitioner - Obstetrics/Gynecology 4082607379 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6071 W Outer Dr
Detroit, MI 48235-2624
Phone (313) 966-4200

Hospital & facility affiliations

  • Sinai-Grace Hospital Hospital, Detroit, MI, CCN 230024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PH054677MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Detroit Health Care for the Homeless CurrentSince Mar 20, 2024 Accepting new patients
Michele Thomas, M.D., PLLC Current Accepting new patients
Patrice L. Harold, M.D.,PLC CurrentSince Oct 16, 2007 Accepting new patients
Detroit Health Care for the Homeless Current Accepting new patients
Detroit Health Care for the Homeless CurrentSince Mar 20, 2024 Accepting new patients
Detroit Health Care for the Homeless Past Accepting new patients
VHS Sinai-Grace Hospital Inc Past Accepting new patients
Detroit Health Care for the Homeless Past Accepting new patients

Locations

101 E Alexandrine St
Detroit, MI 48201
Phone (313) 416-6262

6071 W Outer Dr
Ste 400
Detroit, MI 48235
Phone (313) 966-4200

15400 W McNichols Rd
Ste 400
Detroit, MI 48235

15400 W McNichols Rd
Detroit, MI 48235
Phone (313) 416-6262

1355 Oakman Blvd
Detroit, MI 48238
Phone (313) 416-6262

100 River Place Dr
Ste 450
Detroit, MI 48207

29255 Northwestern Hwy
Ste 301
Southfield, MI 48034
Phone (248) 354-2201

29275 Northwestern Hwy
Ste 207
Southfield, MI 48034
Phone (248) 354-2201

29275 Northwestern Hwy
Ste 202
Southfield, MI 48034
Phone (248) 727-1990

4669 E 8 Mile Rd
Warren, MI 48091
Phone (313) 416-6200

Interoperability endpoints

  • Direct secure messaging: pharold-@direct.dmc.org

Organizations & group practices 9

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 1

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1689630089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29255 NORTHWESTERN HWY STE 301",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480345742",
            "telephone_number": "248-354-2201",
            "fax_number": "248-354-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29255 NORTHWESTERN HWY STE 301",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48034",
            "telephone_number": "248-354-2201",
            "fax_number": "248-354-2220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29275 Northwestern Hwy",
            "address_2": "#207",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "48034",
            "country_code": "US",
            "telephone_number": "248-354-2201",
            "fax_number": "248-354-2201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAROLD",
        "first_name": "PATRICE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "PH054677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.