Individual provider Active NPI

Meiuttenun Chong Marie Brown, MD

  • General Practice Physician
  • Warren, MI
National Provider Identifier
1790793941
Registry record updated Sep 30, 2013
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Jun 18, 2026.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4301088766 Issued in MI
Practice address
8200 Old 13 Mile Rd
Suite 106
Warren, MI 48093-2171
Phone
(586) 558-6990
Fax
(586) 558-6996
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301088766 MI
General Practice Physician 208D00000X 4301088766 MI Primary

Addresses

Primary practice location

8200 Old 13 Mile Rd
Suite 106
Warren, MI 48093-2171

Mailing address

8200 Old 13 Mile Rd
Suite 106
Warren, MI 48093-2171
Phone (586) 558-6990

Other identifiers 6

IdentifierTypeStateIssuer
104918880MedicaidMI
104918906MedicaidMI
700H248710OtherMIBLUE CROSS GROUP NUMBER
104918890MedicaidMI
104918915MedicaidMI
104918871MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301088766MIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Medical Center PC Obstetrics & Gynecology Past Accepting new patients
American Home Doctors PC General Practice PastSince Mar 1, 2020 Accepting new patients
Midwest Medical Point of Care PC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1790793941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 OLD 13 MILE RD",
            "address_2": "SUITE 106",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932171",
            "telephone_number": "586-558-6990",
            "fax_number": "586-558-6996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 OLD 13 MILE RD",
            "address_2": "SUITE 106",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932171",
            "telephone_number": "586-558-6990",
            "fax_number": "586-558-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MEIUTTENUN",
        "middle_name": "CHONG MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301088766",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301088766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104918880",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104918906",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP NUMBER",
            "identifier": "700H248710",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104918890",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104918915",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104918871",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.