Active NPI
Timothy Raymond Schmakel, D.D.S., M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Bingham Farms, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 16953
- Practice address
- 31100 Telegraph Rd
Suite 100
Bingham Farms, MI 48025-4363 - Phone
- (248) 642-2115
- Fax
- (248) 642-6387
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 16953 | MI | Primary |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 290106953 | MI |
Addresses
Primary practice location
31100 Telegraph Rd
Suite 100
Bingham Farms, MI 48025-4363
Mailing address
31100 Telegraph Rd
Suite 100
Bingham Farms, MI 48025-4363
Phone (248) 642-2115
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124370251 | Medicaid | MI | |
| 104370251 | Medicaid | MI | |
| 0N36170 | Other | MEDICARE PTAN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Maxillofacial Surgery
- Education
- Wayne State University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
27483 Dequindre Rd
Suite 204
Madison Heights, MI 48071-5711
Phone (248) 967-7326
31100 Telegraph Rd
Suite 100
Bingham Farms, MI 48025-4364
Phone (248) 642-2115
Hospital & facility affiliations
- Henry Ford Health Warren Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16953 | MI | MD | Oral and Maxillofacial Surgery (Dentist) |
| 290106953 | MI | MD | Oral & Maxillofacial Surgery (D.M.D.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health Macomb-Oakland Hospital | Current | Accepting new patients | |
| Henry Ford Health Macomb-Oakland Hospital | Current | Accepting new patients |
Locations
7633 E Jefferson Ave
Ste 70
Detroit, MI 48214
Phone (313) 499-4775
22201 Moross Rd
Ste 155
Detroit, MI 48236
Phone (313) 499-4775
27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326
27450 Schoenherr Rd
Ste 400
Warren, MI 48088
Phone (586) 582-7550
Interoperability endpoints
- timothy.schmakel.1@8209.direct.athenahealth.com
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.
-
- Family Medicine Physician
- Warren, MI
- NPI 1134176472
-
- Oral and Maxillofacial Surgery (Dentist)
- Bingham Farms, MI
- NPI 1316016561
-
- Social Worker
- Warren, MI
- NPI 1548609761
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Warren, MI
- NPI 1124099858
-
- General Acute Care Hospital
- Madison Heights, MI
- NPI 1215139233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405987200000",
"number": "1811008154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31100 TELEGRAPH RD",
"address_2": "SUITE 100",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480254363",
"telephone_number": "248-642-2115",
"fax_number": "248-642-6387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31100 TELEGRAPH RD",
"address_2": "SUITE 100",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480254363",
"telephone_number": "248-642-2115",
"fax_number": "248-642-6387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMAKEL",
"first_name": "TIMOTHY",
"middle_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "D.D.S., M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2014-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MI",
"license": "16953",
"primary": true
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "MI",
"license": "290106953",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124370251",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104370251",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "0N36170",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bingham Farms, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.