Individual provider Active NPI

Timothy Raymond Schmakel, D.D.S., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Bingham Farms, MI
National Provider Identifier
1811008154
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
16953 Issued in MI
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

Updated by the provider on Jul 22, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
124370251MedicaidMI
104370251MedicaidMI
0N36170OtherMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080126000030 MI Practitioner - Maxillofacial Surgery 1153403324 Reassigns benefits to 2 organizations

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 Hospital, Warren, MI, CCN 230195

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16953MIMDOral and Maxillofacial Surgery (Dentist)
290106953MIMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Nov 30, 2022 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Nov 30, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.