NPIMap

Individual provider Active NPI

Michelle M Bauer, DO

  • Family Medicine Physician
  • Trenton, MI
National Provider Identifier
1750463071
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101013073 Issued in MI
Practice address
1570 Kingsway CT
Trenton, MI 48183-1960
Phone
(833) 373-7389
Fax
(833) 471-3118
NPI assigned
Oct 19, 2006
Last updated
Feb 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101013073 MI Primary

Addresses

Primary practice location

1570 Kingsway CT
Trenton, MI 48183-1960

Mailing address

1640 Fort St
Suite D Attn Denise
Trenton, MI 48183-2040
Phone (734) 391-3057

Other identifiers 1

IdentifierTypeStateIssuer
0H27501OtherMIBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101222000757 MI Practitioner - Family Practice 6800084534 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1570 Kingsway CT
Trenton, MI 48183-1960
Phone (883) 373-7389

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101013073MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Downriver Internists,P.C. CurrentSince Mar 1, 2018 Accepting new patients
Henry Ford Wyandotte Hospital Current Accepting new patients
Michelle Bauer DO PLLC Family Medicine CurrentSince Dec 29, 2022 Accepting new patients
Allen Park Family Physicians PLC Family Medicine CurrentSince Mar 1, 2018 Accepting new patients

Locations

7445 Allen Rd
Ste 210
Allen Park, MI 48101
Phone (313) 382-0505

1570 Kingsway Ct
Trenton, MI 48183
Phone (833) 373-7389

Interoperability endpoints

  • Direct secure messaging: mbauer59817@direct.hfhs.org
  • Direct secure messaging: michelle.bauer.1@27639.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1750463071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 FORT ST",
            "address_2": "SUITE D ATTN DENISE",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832040",
            "telephone_number": "734-391-3057",
            "fax_number": "734-391-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 KINGSWAY CT",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481831960",
            "telephone_number": "833-373-7389",
            "fax_number": "833-471-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101013073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0H27501",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, MI

Sources for this page

Verify at the official NPI Registry.