Individual provider Active NPI

Ebony Harpool

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1801107032
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301096935 Issued in MI
Practice address
4201 Saint Antoine St
9C/Uhc
Detroit, MI 48201-2153
Phone
(313) 745-5147
NPI assigned
Jun 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301096935 MI Primary

Addresses

Primary practice location

4201 Saint Antoine St
9C/Uhc
Detroit, MI 48201-2153

Mailing address

29644 Sylvan Cir
Farmington Hills, MI 48334-4070
Phone (313) 378-8555

Other practice location 1

26677 W 12 Mile Rd Ste 166
Southfield, MI 48034-1514
Phone (313) 306-2023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, MS, OH, AL, TN, LA, GA, WV, VA, DC, FL, KY12 enrollments
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 12

Enrollment IDStateProvider typePAC IDDetails
I20131008001884 MI Practitioner - Internal Medicine 9436383338 Reassigns benefits to 1 organization
I20250106002340 MS Practitioner - Internal Medicine 9436383338 Reassigns benefits to 1 organization
I20250108001904 OH Practitioner - Internal Medicine 9436383338 Reassigns benefits to 1 organization
I20250117003038 AL Practitioner - Internal Medicine 9436383338 Reassigns benefits to 1 organization
I20250124001116 TN Practitioner - Internal Medicine 9436383338 Reassigns benefits to 1 organization
I20250124002278 LA Practitioner - Internal Medicine 9436383338 Reassigns benefits to 1 organization
I20250130000098 GA Practitioner - Internal Medicine 9436383338 Reassigns benefits to 1 organization
I20251001002136 WV Practitioner - Internal Medicine 9436383338 Reassigns benefits to 1 organization
I20260224004240 VA Practitioner - Internal Medicine 9436383338 Reassigns benefits to 1 organization
I20260303004385 DC Practitioner - Internal Medicine 9436383338 Reassigns benefits to 1 organization
I20260305004023 FL Practitioner - Internal Medicine 9436383338 Reassigns benefits to 1 organization
I20260528004089 KY Practitioner - Internal Medicine 9436383338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5410 Maryland Way
Brentwood, TN 37027-8087

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301096935MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services PC Internal Medicine CurrentSince Oct 11, 2024 Accepting new patients
Monogram Health Professional Services PC Internal Medicine CurrentSince Jan 13, 2025 Accepting new patients
Monogram Health Professional Services of Florida LLC Internal Medicine CurrentSince Feb 10, 2026 Accepting new patients
Monogram Health Professional Services PC Internal Medicine CurrentSince Dec 20, 2024 Accepting new patients
Monogram Health Professional Services PC Internal Medicine CurrentSince Dec 12, 2024 Accepting new patients
Monogram Health Professional Services PC Internal Medicine CurrentSince Jan 10, 2025 Accepting new patients
Osh-Mi Physicians Group PC Internal Medicine Past Accepting new patients

Locations

2700 Corporate Dr
Ste 200
Birmingham, AL 35242
Phone (205) 314-4760

4720 Salisbury Rd
Jacksonville, FL 32256
Phone (866) 932-2777

3350 Riverwood Pkwy SE
Ste 1900
Atlanta, GA 30339
Phone (404) 277-2167

3499 Blazer Pkwy
Ste 330
Lexington, KY 40509
Phone (410) 885-4727

2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895

250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616

1000 Highland Colony Pkwy
Ste 5203
Ridgeland, MS 39157
Phone (601) 427-4734

470 Olde Worthington Rd
Ste 200
Westerville, OH 43082
Phone (614) 340-7587

5410 Maryland Way
Ste 400
Brentwood, TN 37027

5410 Maryland Way
Ste 301
Brentwood, TN 37027
Phone (615) 762-3845

5680 King Centre Dr
Ste 600
Kingstowne, VA 22315
Phone (703) 201-8558

919 E Main St
Ste 1000
Richmond, VA 23219
Phone (804) 729-6904

1253 Canyon Rd
Ste 15
Morgantown, WV 26508
Phone (304) 451-9116

Interoperability endpoints

  • Direct secure messaging: ebony.harpool.1@22854.direct.athenahealth.com
  • Direct secure messaging: ms_eharpool@landmarkhealth-direct.org
  • Direct secure messaging: eharpool551716@direct.hfhs.org
  • Direct secure messaging: eharpool@direct.dmc.org

Organizations & group practices 7

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": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1801107032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29644 SYLVAN CIR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483344070",
            "telephone_number": "313-378-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST",
            "address_2": "9C/UHC",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-745-5147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26677 W 12 Mile Rd Ste 166",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480341514",
            "country_code": "US",
            "telephone_number": "313-306-2023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARPOOL",
        "first_name": "EBONY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301096935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.