Individual provider Active NPI

Michael Anthony McIlroy, M.D.

  • Infectious Disease Physician
  • Detroit, MI
National Provider Identifier
1801981238
Registry record updated Jun 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
4301044852 Issued in MI
Practice address
22151 Moross Rd
Suite G-33
Detroit, MI 48236-2167
Phone
(313) 343-4050
Fax
(313) 885-2110
NPI assigned
Oct 3, 2006
Last updated
Jun 22, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 4301044852 MI Primary

Addresses

Primary practice location

22151 Moross Rd
Suite G-33
Detroit, MI 48236-2167

Mailing address

730 Harcourt Rd
Grosse Pointe Park, MI 48230-1832
Phone (313) 802-0141

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
I20120827000855 MI Practitioner - Internal MedicinePractitioner - Infectious Disease 3274780291 Practice locations: Detroit, MI

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Wayne State University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

22151 Moross Rd
Suite G33
Detroit, MI 48236-2144
Phone (313) 343-4050

Hospital & facility affiliations

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: mmcilroy1140683@direct.hfhs.org

Hospital & facility affiliations 5

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1801981238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 HARCOURT RD",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301832",
            "telephone_number": "313-802-0141",
            "fax_number": "313-885-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22151 MOROSS RD",
            "address_2": "SUITE G-33",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362167",
            "telephone_number": "313-343-4050",
            "fax_number": "313-885-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCILROY",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MI",
            "license": "4301044852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.