Individual provider Active NPI

Mary A Cameron, M.D.

  • Family Medicine Physician
  • Farmington, MI
National Provider Identifier
1780637876
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301076620 Issued in MI
Practice address
22821 Orchard Lake Rd
Farmington, MI 48336-3230
Phone
(248) 615-6600
Fax
(248) 615-6605
NPI assigned
May 18, 2006
Last updated
May 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2015

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 4301076620 MI Primary

Addresses

Primary practice location

22821 Orchard Lake Rd
Farmington, MI 48336-3230

Mailing address

41600 Rayburn Dr
Northville, MI 48168-2080
Phone (734) 934-2579

Other identifiers 1

IdentifierTypeStateIssuer
4301076620OtherMIPHYSICIAN LICENSE

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
I20090123000530 MI Practitioner - Family Practice 7719041409 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Kamran F Sheikh MD PCGroup PAC ID 8921087230, 3 clinicians

Practice addresses (Care Compare)

11962 County Rd
101 Suite 104
The Villages, FL 32162-9336
Phone (352) 693-3378

22821 Orchard Lake Rd
Farmington, MI 48336-3230
Phone (248) 615-6601

8449 SW Hwy 200
Suite 141
Ocala, FL 34481-9695
Phone (352) 693-3378

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Physicians of Michigan CurrentSince Jan 1, 2011 Accepting new patients
Kamran F. Sheikh MD PC Family Medicine CurrentSince Jun 1, 2014 Accepting new patients
DMC Orthopedic Billing Associates LLC Past Accepting new patients

Locations

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

Interoperability endpoints

  • Direct secure messaging: mcameron292408@direct.hfhs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1780637876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41600 RAYBURN DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481682080",
            "telephone_number": "734-934-2579",
            "fax_number": "248-615-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22821 ORCHARD LAKE RD",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363230",
            "telephone_number": "248-615-6600",
            "fax_number": "248-615-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "MARY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301076620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "4301076620",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MI

Sources for this page

Verify at the official NPI Registry.