Individual provider Active NPI

Michael Allen Scarchilli, DO

  • Family Medicine Physician
  • Clinton TWP, MI
National Provider Identifier
1760944037
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101025716 Issued in MI
Practice address
Iha Clarkston Primary Care
6770 Dixie Highway Suite 303
Clinton TWP, MI 48346
Phone
(248) 625-0030
Fax
(248) 625-4403
NPI assigned
Apr 4, 2019
Last updated
Aug 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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 5101025716 MI Primary

Addresses

Primary practice location

Iha Clarkston Primary Care
6770 Dixie Highway Suite 303
Clinton TWP, MI 48346

Mailing address

24 Frank Lloyd Wright Drive Suite J2000
Ann Arbor, MI 48105-2920
Phone (734) 747-6766

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
I20220720000671 MI Practitioner - Family Practice 4981937968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iha Ooma Primary LLCGroup PAC ID 7012316664, 45 clinicians

Practice addresses (Care Compare)

6770 Dixie Hwy
Suite 303
Clarkston, MI 48346-2090
Phone (248) 625-0030

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101025716MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Ooma Primary LLC Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
Iha Ooma Primary LLC Family Medicine Current Accepting new patients
Iha Ooma Primary LLC Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
McLaren Medical Group Past Accepting new patients
McLaren Macomb Family Medicine Past Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

6770 Dixie Hwy
Ste 303
Clarkston, MI 48346
Phone (248) 625-0030

1375 S Lapeer Rd
Ste 210
Lake Orion, MI 48360
Phone (248) 693-5700

Interoperability endpoints

  • Direct secure messaging: mscarchilli1984563@direct.trinity-health.org

Organizations & group practices 5

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 3

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": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1760944037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DRIVE SUITE J2000",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052920",
            "telephone_number": "734-747-6766",
            "fax_number": "734-222-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "IHA CLARKSTON PRIMARY CARE",
            "address_2": "6770 DIXIE HIGHWAY SUITE 303",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "48346",
            "telephone_number": "248-625-0030",
            "fax_number": "248-625-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARCHILLI",
        "first_name": "MICHAEL",
        "middle_name": "ALLEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-04",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101025716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

Verify at the official NPI Registry.