NPIMap

Individual provider Active NPI

Andrew Nicholas Hollenbeck, M.D.

  • Surgery Physician
  • Detroit, MI
National Provider Identifier
1790028207
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301103734 Issued in MI
Practice address
4201 St. Antoine
6-C University Health Center Department of Surgery
Detroit, MI 48201
Phone
(313) 577-5009
NPI assigned
Apr 3, 2013
Last updated
Sep 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MI
Surgery Physician 208600000X 4301103734 MI Primary

Addresses

Primary practice location

4201 St. Antoine
6-C University Health Center Department of Surgery
Detroit, MI 48201

Mailing address

521 Monroe St
Petoskey, MI 49770-2266
Phone (231) 487-1900

Other practice location 1

521 Monroe St
Petoskey, MI 49770-2266
Phone (231) 487-1900

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
I20190424001740 MI Practitioner - Internal MedicinePractitioner - General Surgery 0648571752 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Indiana University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Helen Newberry Joy HospitalGroup PAC ID 5799671285, 36 clinicians
Petoskey Surgeons, P.C.Group PAC ID 4880616028, 9 clinicians
McLaren Central MichiganGroup PAC ID 6103733092, shared by 21 NPIs, 183 clinicians

Practice addresses (Care Compare)

502 W Harrie St
Newberry, MI 49868-1209
Phone (906) 293-9200

521 Monroe St
Petoskey, MI 49770-2266
Phone (231) 487-1900

560 W Mitchell St
Suite C70
Petoskey, MI 49770-2275
Phone (231) 487-7200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy32
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux60
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mackinac Straits Health System Inc Current Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center Current Accepting new patients
Mackinac Straits Health System Inc CurrentSince Dec 1, 2023 Accepting new patients
Mackinac Straits Health System Inc CurrentSince Dec 1, 2023 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery CurrentSince Oct 8, 2019 Accepting new patients
Brain and Spine Associates PC CurrentSince Aug 1, 2021 Accepting new patients
Petoskey Surgeons, P.C. Surgery CurrentSince Sep 2, 2019 Accepting new patients
McLaren Northern Michigan Past Accepting new patients

Locations

502 W Harrie St
Newberry, MI 49868
Phone (906) 293-9131

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

521 Monroe St
Petoskey, MI 49770
Phone (231) 348-1514

50 N Perry St
#2
Pontiac, MI 48342
Phone (248) 338-5865

1140 N State St
Saint Ignace, MI 49781
Phone (906) 643-0466

Interoperability endpoints

  • Direct secure messaging: ahollenbeck@pspc.gwaydirect.com
  • Direct secure messaging: ahollenbeck143105@mymichiganhealth.midirect.net

Organizations & group practices 8

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 6

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": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1790028207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 MONROE ST",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702266",
            "telephone_number": "231-487-1900",
            "fax_number": "231-348-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 ST. ANTOINE",
            "address_2": "6-C UNIVERSITY HEALTH CENTER DEPARTMENT OF SURGERY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48201",
            "telephone_number": "313-577-5009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "521 Monroe St",
            "address_purpose": "LOCATION",
            "city": "Petoskey",
            "state": "MI",
            "postal_code": "497702266",
            "country_code": "US",
            "telephone_number": "231-487-1900",
            "fax_number": "231-348-0984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLENBECK",
        "first_name": "ANDREW",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-03",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301103734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.