Carl Bernard Shermetaro, DO

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

CS010855 Issued in MI

Practice address

5701 Bow Pointe Dr
Suite 200
Clarkston, MI 48346-3198

Phone

(248) 620-3100

Fax

(248) 620-3019

NPI assigned

Aug 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Otolaryngology

Education

Midwestern University, Chicago College of Osteopathic Med, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Oakland Ear Nose and Throat Centers PCGroup PAC ID 6800879461, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Oakland Hospital, Pontiac, MI, CCN 230207
• Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029
• McLaren Lapeer Region Hospital, Lapeer, MI, CCN 230193
• Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
• Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cshermetaro1151149@direct.hfhs.org
• Direct secure messaging: carlshermetaro@noentc.allscriptsdirect.net

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.

• North Oakland Ear Nose &Throat Centers PC

  • Otolaryngology Physician
  • Clarkston, MI
  • NPI 1013026855
  Medicare reassignment Care Compare group NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henry Ford Health Rochester Hospital

  • General Acute Care Hospital
  • Rochester, MI
  • NPI 1437176203
  Care Compare affiliation
• McLaren Lapeer Region

  • General Acute Care Hospital
  • Lapeer, MI
  • NPI 1205824737
  Care Compare affiliation
• McLaren Oakland

  • General Acute Care Hospital
  • Pontiac, MI
  • NPI 1376564088
  Care Compare affiliation
• St Joseph Mercy Hospital-SMHC

  • General Acute Care Hospital
  • Pontiac, MI
  • NPI 1053356352
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Troy, MI
  • NPI 1306825997
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Royal Oak, MI
  • NPI 1689653305
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260921600000",
    "number": "1700994530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 BOW POINTE DR",
            "address_2": "SUITE 200",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483463198",
            "telephone_number": "248-620-3100",
            "fax_number": "248-620-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 BOW POINTE DR",
            "address_2": "SUITE 200",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483463198",
            "telephone_number": "248-620-3100",
            "fax_number": "248-620-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMETARO",
        "first_name": "CARL",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2009-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "CS010855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3126679",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Farah Sheena
• Melanie Shehan, MS, RD
• Shelly Chumbler OD LLC
• Molly Marie Sherman
• Stefanie Denise Sherman, M.D.
• Teri L Shermetaro, D.O.
• Cody William Shinavier, PMHNP-BC
• Jonathan Shook, PHD
• Joseph C. Shoots, MA,TLLP,CAC-1
• Emily Short, DMFT, LMFT

• Otolaryngology Physician in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Otolaryngology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.