Organization Active NPI

Michael Ducato MD, PC

  • Family Medicine Physician
  • Trenton, MI
National Provider Identifier
1730656273
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MICHAEL DUCATO MD, PC
Practice address
2901 West Rd
Trenton, MI 48183-2472
Phone
(734) 676-6644
Fax
(734) 675-1858
NPI assigned
Nov 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Authorized official

Name
Mary Bruneel
Title
Manager
Phone
(313) 291-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2901 West Rd
Trenton, MI 48183-2472

Mailing address

2901 West Rd
Trenton, MI 48183-2472
Phone (734) 676-6644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190115001820 MI Part B Supplier - Clinic/Group Practice 6901142736 Receives reassigned benefits from 1 practitioner
Practice locations: Trenton, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544486400000",
    "number": "1730656273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 WEST RD",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832472",
            "telephone_number": "734-676-6644",
            "fax_number": "734-675-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 WEST RD",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832472",
            "telephone_number": "734-676-6644",
            "fax_number": "734-675-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL DUCATO MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2018-12-11",
        "status": "A",
        "authorized_official_last_name": "BRUNEEL",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "313-291-4444"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.