Individual provider Active NPI

Michael James Dionne, M.D.

  • Internal Medicine Physician
  • Grosse Pointe Farms, MI
National Provider Identifier
1700933371
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
047871 Issued in MI
Practice address
131 Kercheval Ave Ste 330
Grosse Pointe Farms, MI 48236-3628
Phone
(313) 885-5700
Fax
(313) 885-5705
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 047871 MI Primary

Addresses

Primary practice location

131 Kercheval Ave Ste 330
Grosse Pointe Farms, MI 48236-3628

Mailing address

131 Kercheval Ave Ste 330
Grosse Pointe Farms, MI 48236-3628
Phone (313) 885-5700

Other identifiers 1

IdentifierTypeStateIssuer
MD 047871OtherMISTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mdionne21794@direct.beaumont.edu

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
I20090521000099 MI Practitioner - Internal Medicine 2264581206 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakwood Ambulatory LLCGroup PAC ID 1850282914, 271 clinicians

Practice addresses (Care Compare)

100 Michigan Ave NE
Grand Rapids, MI 49503-2560

17000 Kercheval Ave
Suite 205
Grosse Pointe, MI 48230-1570
Phone (313) 640-2424

201 3Rd St
Suite 200
Belleville, MI 48111-2605
Phone (734) 697-9065

468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone (313) 473-1000

Hospital & facility affiliations

  • Beaumont Home Health Home health agency, Troy, MI, CCN 237112
  • Residential Home Health Home health agency, Troy, MI, CCN 237459
  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
047871MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William Beaumont Hospital Current Accepting new patients
Oakwood Ambulatory, LLC CurrentSince Nov 1, 2017 Accepting new patients
Oakwood Ambulatory LLC Internal Medicine CurrentSince Nov 1, 2017 Accepting new patients
William Beaumont Hospital CurrentSince Apr 12, 2009 Accepting new patients
William Beaumont Hospital Past Accepting new patients

Locations

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

17000 Kercheval Ave
Ste 205
Grosse Pointe, MI 48230
Phone (313) 640-2424

3601 W 13 Mile Rd
Royal Oak, MI 48073

22646 E 9 Mile Rd
St Clr Shores, MI 48080
Phone (586) 498-4800

Interoperability endpoints

  • Direct secure messaging: mdionne1125315@direct.hfhs.org
  • Direct secure messaging: mdionne21794@direct.beaumont.edu
  • Direct secure messaging: mdionne1231474@epic00.shdirect.org

Organizations & group practices 5

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 7

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1700933371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 KERCHEVAL AVE STE 330",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363628",
            "telephone_number": "313-885-5700",
            "fax_number": "313-885-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 KERCHEVAL AVE STE 330",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363628",
            "telephone_number": "313-885-5700",
            "fax_number": "313-885-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIONNE",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "047871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MD 047871",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdionne21794@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "131 Kercheval Ave Ste 330",
            "city": "Grosse Pointe Farms",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482363628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grosse Pointe Farms, MI

Sources for this page

Verify at the official NPI Registry.