Active NPI
Dawn Foster, M.D.
- Internal Medicine Physician
- Southfield, MI
National Provider Identifier
1750449708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301067981
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4562804 | Medicaid | MI |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301067981 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Centers Detroit Foundation, Inc. | Current | Accepting new patients | |
| Health Centers Detroit Foundation, Inc. | Current | 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
- dfoster@hcdg.adaptamed.direct-ci.com
- 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.
-
- Federally Qualified Health Center (FQHC)
- Detroit, MI
- NPI 1518026541
-
- Federally Qualified Health Center (FQHC)
- Southfield, MI
- NPI 1386705804
-
- Federally Qualified Health Center (FQHC)
- Detroit, MI
- NPI 1770657785
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.