Patricia Coleman, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301062083 Issued in MI

Practice address

21811 Kelly Rd
Eastpointe, MI 48021-2793

Phone

(586) 649-3388

Fax

(586) 842-3766

NPI assigned

Apr 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Patricia Coleman-Miezan Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Total Health Care Management

  • Pain Clinic/Center
  • Southfield, MI
  • NPI 1407489289

  MI

  Medicare reassignment NPD
• Dedicated Physicians Group of Michigan PLLC

  • Non-Pharmacy Dispensing Site
  • Eastpointe, MI
  • NPI 1730754656
  NPD
• Dedicated Physicians Group of Michigan PLLC

  • Non-Pharmacy Dispensing Site
  • Detroit, MI
  • NPI 1366028730
  NPD (past)

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1770546103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21811 KELLY RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480212793",
            "telephone_number": "586-649-3388",
            "fax_number": "586-842-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21811 KELLY RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480212793",
            "telephone_number": "586-649-3388",
            "fax_number": "586-842-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301062083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "0470217",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4234509",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "COLEMAN-MIEZAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher R Dyki DDS PC
• CHS Medical Supply Corp
• City of Eastpointe
• CNS Healthcare
• Lashana Coleman
• Porsha Coleman
• Leah Rose Collier
• Comfort First Homecare LLC.
• Comfort Hands Home Services LLC
• Compassionate Touch Lab Services LLC

• All providers in Eastpointe, MI
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.

Verify at the official NPI Registry.