Individual provider Active NPI

Dawn Foster, M.D.

  • Internal Medicine Physician
  • Southfield, MI
National Provider Identifier
1750449708
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301067981 Issued in MI
Practice address
23077 Greenfield Rd
Suite 400
Southfield, MI 48075-3709
Phone
(313) 833-9801
Fax
(248) 423-8169
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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 4301067981 MI Primary

Addresses

Primary practice location

23077 Greenfield Rd
Suite 400
Southfield, MI 48075-3709

Mailing address

9358 Eastwind Dr
Livonia, MI 48150-4524
Phone (734) 464-2160

Other identifiers 1

IdentifierTypeStateIssuer
4562804MedicaidMI

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
I20100520000617 MI Practitioner - Internal MedicinePractitioner - Pediatric Medicine 1153450721 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301067981MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Centers Detroit Foundation, Inc. CurrentSince Jul 1, 2003 Accepting new patients
Health Centers Detroit Foundation, Inc. CurrentSince Jul 1, 2003 Accepting new patients
Health Centers Detroit Foundation, Inc. Past Accepting new patients

Locations

4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615

7633 E Jefferson Ave
Ste 340
Detroit, MI 48214
Phone (313) 822-9801

23077 Greenfield Rd
Ste 400
Southfield, MI 48075
Phone (313) 822-9801

Interoperability endpoints

  • Direct secure messaging: dfoster@hcdg.adaptamed.direct-ci.com
  • Direct secure messaging: dfoster@hcdej.adaptamed.direct-ci.com

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300924800000",
    "number": "1750449708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9358 EASTWIND DR",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481504524",
            "telephone_number": "734-464-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23077 GREENFIELD RD",
            "address_2": "SUITE 400",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753709",
            "telephone_number": "313-833-9801",
            "fax_number": "248-423-8169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "DAWN",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2011-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301067981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4562804",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.