NPIMap

Individual provider Active NPI

Dustin Blake Feldman, D.O.

  • Cardiovascular Disease Physician
  • Farmington Hills, MI
National Provider Identifier
1689894867
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
5101016881 Issued in MI
Practice address
32255 Northwestern Hwy Ste 50
Farmington Hills, MI 48334-1572
Phone
(947) 227-8420
Fax
(947) 227-8421
NPI assigned
Apr 27, 2007
Last updated
Oct 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101016881 MI
Cardiovascular Disease Physician 207RC0000X 5101016881 MI Primary

Addresses

Primary practice location

32255 Northwestern Hwy Ste 50
Farmington Hills, MI 48334-1572

Mailing address

29992 Northwestern Hwy
Suite C
Farmington Hills, MI 48334-3292
Phone (248) 851-1430

Other practice location 1

27483 Dequindre Rd Ste 306
Madison Heights, MI 48071-5715
Phone (947) 227-8422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130920000517 MI Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7113161787 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omg 1PCGroup PAC ID 4183536238, 20 clinicians

Practice addresses (Care Compare)

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 424-3000

27483 Dequindre Rd
Suite 101
Madison Heights, MI 48071-5700
Phone (248) 544-9050

27900 Grand River Ave
Suite 220
Farmington Hills, MI 48336-5965
Phone (248) 477-0552

32255 Northwestern Hwy
Farmington Hills, MI 48334-1572

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC Cardiovascular Disease CurrentSince Jun 1, 2013 Accepting new patients
Oakland Medical Group PC Internal Medicine CurrentSince Jul 7, 2013 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Nov 15, 2015 Accepting new patients
Michigan Healthcare Professionals PC Internal Medicine Current Accepting new patients
Henry Ford Health Macomb Oakland Hospital Cardiovascular Disease CurrentSince Sep 19, 2017 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Sep 19, 2017 Accepting new patients
Henry Ford Health Providence Hospital Cardiovascular Disease CurrentSince Nov 15, 2015 Accepting new patients
Omg 1 PC Internal Medicine CurrentSince Jul 7, 2013 Accepting new patients
Atria Vascular & Vein, PLLC Cardiovascular Disease CurrentSince Dec 1, 2020 Accepting new patients
MMG 1 PC Internal Medicine CurrentSince Jun 12, 2013 Accepting new patients
Henry Ford Health Providence Hospital Current Accepting new patients
MMG 1 PC Internal Medicine CurrentSince Jun 12, 2013 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Jun 1, 2013 Accepting new patients
Michigan Healthcare Professionals PC PastSince Oct 29, 2023 Accepting new patients

Locations

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

32255 Northwestern Hwy
Ste 100
Farmington Hills, MI 48334
Phone (248) 945-0000

32255 Northwestern Hwy
Ste 115
Farmington Hills, MI 48334
Phone (248) 587-2300

32255 Northwestern Hwy
Ste 115A
Farmington Hills, MI 48334
Phone (248) 268-4296

32255 Northwestern Hwy
Ste 50
Farmington Hills, MI 48334
Phone (248) 419-3505

27483 Dequindre Rd
Ste 210
Madison Heights, MI 48071
Phone (248) 398-0964

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

27483 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 544-9050

27483 Dequindre Rd
Ste 101
Madison Hts, MI 48071
Phone (248) 544-9050

27483 Dequindre Rd
Ste 306
Madison Hts, MI 48071
Phone (248) 544-8644

26850 Providence Pkwy
Ste 205
Novi, MI 48374
Phone (248) 465-3144

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

22250 Providence Dr
Ste 705
Southfield, MI 48075
Phone (248) 465-5955

28625 Northwestern Hwy
Ste 213
Southfield, MI 48034
Phone (248) 354-9666

28289 Hoover Rd
Warren, MI 48093
Phone (586) 558-8346

6149 N Wayne Rd
Westland, MI 48185
Phone (734) 728-1320

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 12

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": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1689894867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29992 NORTHWESTERN HWY",
            "address_2": "SUITE C",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343292",
            "telephone_number": "248-851-1430",
            "fax_number": "248-851-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32255 NORTHWESTERN HWY STE 50",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341572",
            "telephone_number": "947-227-8420",
            "fax_number": "947-227-8421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27483 Dequindre Rd Ste 306",
            "address_purpose": "LOCATION",
            "city": "Madison Heights",
            "state": "MI",
            "postal_code": "480715715",
            "country_code": "US",
            "telephone_number": "947-227-8422",
            "fax_number": "947-227-8423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "DUSTIN",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-27",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101016881",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "5101016881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.