Active NPI
Nevena-Maria Mihailoff, MD
- Family Medicine Physician
- Bloomfield Hills, MI
National Provider Identifier
1740280569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- NM039159
- Practice address
- 1266 Marymar LN
Bloomfield Hills, MI 48302-2825 - Phone
- (313) 278-1140
- Fax
- (313) 278-0855
- NPI assigned
- Jul 22, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NM039159 | MI | Primary |
Addresses
Primary practice location
1266 Marymar LN
Bloomfield Hills, MI 48302-2825
Mailing address
1266 Marymar LN
Bloomfield Hills, MI 48302-2825
Phone (313) 278-1140
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0808242521 | Other | MI | BCBS BCN |
| 0808242521 | Other | MI | BCN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NM039159 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ank PC | Past | Accepting new patients |
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.
-
- Legal Medicine
- Dearborn, MI
- NPI 1114051646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480464000000",
"number": "1740280569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1266 MARYMAR LN",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483022825",
"telephone_number": "313-278-1140",
"fax_number": "313-278-0855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1266 MARYMAR LN",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483022825",
"telephone_number": "313-278-1140",
"fax_number": "313-278-0855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIHAILOFF",
"first_name": "NEVENA-MARIA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-22",
"last_updated": "2016-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "NM039159",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS BCN",
"identifier": "0808242521",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN",
"identifier": "0808242521",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bloomfield Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.