Active NPI
Michael E Kramer, M.D.
- Emergency Medicine Physician
- Madison Heights, MI
National Provider Identifier
1700827490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4301083031
- Practice address
- 30671 Stephenson Hwy
Madison Heights, MI 48071-1635 - Phone
- (248) 733-2200
- NPI assigned
- Jun 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 4301083031 | MI | |
| Emergency Medicine Physician | 207P00000X | 4301083031 | MI | Primary |
Addresses
Primary practice location
30671 Stephenson Hwy
Madison Heights, MI 48071-1635
Mailing address
9904 Mayfield St
Livonia, MI 48150-2736
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MK083031 | Other | MI | BC/BS OF MI |
| 104814830 | Medicaid | MI | |
| 104936163 | Medicaid | MI | |
| 104936172 | Medicaid | MI |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301083031 | MI | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Center Emergency Services | Emergency Medical Services | Current | Accepting new patients |
Locations
1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500
4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615
30671 Stephenson Hwy
Madison Hts, MI 48071
Phone (248) 588-8000
Interoperability endpoints
- mkramer@direct.dmc.org
Organizations & group practices 1
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Detroit, MI
- NPI 1902855711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276819200000",
"number": "1700827490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9904 MAYFIELD ST",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481502736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30671 STEPHENSON HWY",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "480711635",
"telephone_number": "248-733-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAMER",
"first_name": "MICHAEL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2010-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "MI",
"license": "4301083031",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301083031",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF MI",
"identifier": "MK083031",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104814830",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104936163",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104936172",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.