NPIMap

Individual provider Active NPI

Michael R Digiovanni, M.D.

  • Family Medicine Physician
  • Brown City, MI
National Provider Identifier
1801382858
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
125-073054 Issued in IL
Practice address
7115 Cade Rd
Brown City, MI 48416-9778
Phone
(810) 346-2757
Fax
(810) 346-2016
NPI assigned
Jul 2, 2018
Last updated
Mar 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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 125-073054 IL Primary

Addresses

Primary practice location

7115 Cade Rd
Brown City, MI 48416-9778

Mailing address

7115 Cade Rd
Brown City, MI 48416-9778
Phone (810) 346-2757

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
I20210726001777 MI Practitioner - Family Practice 4486901204 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Central MichiganGroup PAC ID 6103733092, 183 clinicians

Practice addresses (Care Compare)

7115 Cade Rd
Brown City, MI 48416-9778
Phone (810) 346-2757

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125-073054ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Lapeer Region Current Accepting new patients
McLaren Lapeer Region Family Medicine CurrentSince May 1, 2022 Accepting new patients
McLaren Central Michigan Current Accepting new patients
McLaren Central Michigan Family Medicine CurrentSince Aug 6, 2021 Accepting new patients
McLaren Lapeer Region CurrentSince May 1, 2022 Accepting new patients
McLaren Central Michigan CurrentSince Aug 6, 2021 Accepting new patients

Locations

7115 Cade Rd
Brown City, MI 48416
Phone (810) 346-2757

1254 N Main St
Lapeer, MI 48446
Phone (810) 664-4531

809 W Dryden Rd
Metamora, MI 48455
Phone (810) 678-4000

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

4482 Huron St
North Branch, MI 48461
Phone (810) 688-3093

Organizations & group practices 6

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": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1801382858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7115 CADE RD",
            "city": "BROWN CITY",
            "state": "MI",
            "postal_code": "484169778",
            "telephone_number": "810-346-2757",
            "fax_number": "810-346-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 CADE RD",
            "city": "BROWN CITY",
            "state": "MI",
            "postal_code": "484169778",
            "telephone_number": "810-346-2757",
            "fax_number": "810-346-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGIOVANNI",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-02",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125-073054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brown City, MI

Sources for this page

Verify at the official NPI Registry.