Individual provider Active NPI

Joseph P Femminineo, MD

  • Physical Medicine & Rehabilitation Physician
  • St Clair Shores, MI
National Provider Identifier
1710970348
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
4301049950 Issued in MI
Practice address
25311 Little Mack Ave
Suite B
St Clair Shores, MI 48081-3370
Phone
(586) 498-2400
Fax
(586) 498-2800
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 4301049950 MI Primary

Addresses

Primary practice location

25311 Little Mack Ave
Suite B
St Clair Shores, MI 48081-3370

Mailing address

8301 Reliable Parkway
Chicago, IL 60686-0083
Phone (586) 498-2400

Other practice location 1

468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone (313) 473-1596

Other identifiers 1

IdentifierTypeStateIssuer
1710970348MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jfemminineo53892@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
I20040329001462 MI Practitioner - Physical Medicine and Rehabilitation 6204726466 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Wayne State University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaumont Medical Group- Specialty ServicesGroup PAC ID 7214299866, 868 clinicians
Great Lakes Physiatrists PCGroup PAC ID 1153217278, 16 clinicians

Practice addresses (Care Compare)

16815 E Jefferson Ave
Grosse Pointe, MI 48230-1923

25311 Little Mack Ave
Suite B
Saint Clair Shores, MI 48081-3301
Phone 5864982400111

28100 Grand River Ave
Farmington Hills, MI 48336-5970

468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone (313) 473-1705

Hospital & facility affiliations

  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089
  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • McLaren Macomb Hospital, Mount Clemens, MI, CCN 230227
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053

Merit-based Incentive Payment System (MIPS)

Final score
94.92 of 100Reported as group
Quality
93.88
Improvement activities
40
Cost
69.43

Merit-based Incentive Payment System (MIPS)

Final score
84.37 of 100Reported as group
Quality
66.73
Promoting interoperability
100
Improvement activities
40
Cost
70.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301049950MIMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William Beaumont Hospital CurrentSince Aug 1, 2015 Accepting new patients
William Beaumont Hospital CurrentSince Aug 1, 2015 Accepting new patients
William Beaumont Hospital Current Accepting new patients
Great Lakes Physiatrists PC Physical Medicine & Rehabilitation CurrentSince Oct 1, 1990 Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Mar 14, 2018 Accepting new patients

Locations

8301 Reliable Pkwy
Chicago, IL 60686

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

5669 Lakeshore Rd
Fort Gratiot, MI 48059
Phone (810) 385-7260

468 Cadieux Rd
Grosse Pt Wds, MI 48230
Phone (313) 343-1000

3601 W 13 Mile Rd
Royal Oak, MI 48073

26001 Jefferson Ave
Saint Clair Shores, MI 48081
Phone (586) 779-7000

50505 Schoenherr Rd
Ste 200
Shelby Township, MI 48315
Phone (586) 803-1220

50505 Schoenherr Rd
Ste 210
Shelby Township, MI 48315
Phone (586) 884-6681

30503 Greenfield Rd
Southfield, MI 48076
Phone (248) 691-4732

25311 Little Mack Ave
Ste B
St Clr Shores, MI 48081
Phone (586) 498-2400

Interoperability endpoints

  • Direct secure messaging: jfemminineo53892@direct.beaumont.edu
  • Direct secure messaging: jfemminineo1233299@epic00.shdirect.org
  • Direct secure messaging: jfemminineo1126687@direct.hfhs.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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1710970348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 RELIABLE PARKWAY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606860083",
            "telephone_number": "586-498-2400",
            "fax_number": "586-498-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25311 LITTLE MACK AVE",
            "address_2": "SUITE B",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "480813370",
            "telephone_number": "586-498-2400",
            "fax_number": "586-498-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "468 Cadieux Rd",
            "address_purpose": "LOCATION",
            "city": "Grosse Pointe",
            "state": "MI",
            "postal_code": "482301507",
            "country_code": "US",
            "telephone_number": "313-473-1596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEMMININEO",
        "first_name": "JOSEPH",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301049950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710970348",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfemminineo53892@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "468 Cadieux Rd",
            "city": "Grosse Pointe",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482301507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.