Individual provider Active NPI

Steven M Dovitz, MD

  • Internal Medicine Physician
  • West Bloomfield, MI
National Provider Identifier
1750351920
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301041239 Issued in MI
Practice address
2300 Haggerty Rd
Suite 2120
West Bloomfield, MI 48323-2184
Phone
(248) 960-7711
Fax
(248) 960-7722
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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 4301041239 MI Primary

Addresses

Primary practice location

2300 Haggerty Rd
Suite 2120
West Bloomfield, MI 48323-2184

Mailing address

2300 Haggerty Rd
Suite 2120
West Bloomfield, MI 48323-2184
Phone (248) 960-7711

Other identifiers 2

IdentifierTypeStateIssuer
700F375500OtherMIBCBSM
4471263-10MedicaidMI

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
I20041129000193 MI Practitioner - Internal Medicine 9931186293 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Physicians of Michigan Internal Medicine CurrentSince Sep 16, 2012 Accepting new patients
Cardiology and Vascular Associates PC Past Accepting new patients
Cardiology and Vascular Associates PC Internal Medicine Past Accepting new patients

Locations

7733 E Jefferson Ave
Detroit, MI 48214
Phone (313) 499-3000

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

44000 W Twelve Mile Rd
Ste 101
Novi, MI 48377
Phone (248) 226-3001

2300 Haggerty Rd
Ste 1
West Bloomfield, MI 48323
Phone (248) 960-7711

2300 Haggerty Rd
Ste 2120
West Bloomfield, MI 48323
Phone (248) 960-7711

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410739200000",
    "number": "1750351920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD",
            "address_2": "SUITE 2120",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232184",
            "telephone_number": "248-960-7711",
            "fax_number": "248-960-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HAGGERTY RD",
            "address_2": "SUITE 2120",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232184",
            "telephone_number": "248-960-7711",
            "fax_number": "248-960-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOVITZ",
        "first_name": "STEVEN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2014-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301041239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "700F375500",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4471263-10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.