Individual provider Active NPI

John McCracken, M.D.

  • Family Medicine Physician
  • Allen Park, MI
National Provider Identifier
1811960081
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301063325 Issued in MI
Practice address
7445 Allen Rd
Suite 250
Allen Park, MI 48101-1963
Phone
(313) 386-5500
Fax
(313) 386-3444
NPI assigned
Feb 8, 2006
Last updated
Nov 16, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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 4301063325 MI Primary

Addresses

Primary practice location

7445 Allen Rd
Suite 250
Allen Park, MI 48101-1963

Mailing address

7445 Allen Rd
Suite 250
Allen Park, MI 48101-1963
Phone (313) 386-5500

Other identifiers 1

IdentifierTypeStateIssuer
4281910MedicaidMI

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
I20060323000585 MI Practitioner - Family Practice 0244273191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Western Wayne Family Physicians, PLCGroup PAC ID 8820031776, 13 clinicians

Practice addresses (Care Compare)

8338 Allen Rd
Suite 101
Allen Park, MI 48101-1399
Phone (313) 386-5500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.69 of 100Reported as group
Quality
95.66
Promoting interoperability
98
Improvement activities
40
Cost
78.3

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions11
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301063325MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Wayne Family Physicians, PLC Family Medicine CurrentSince Jan 1, 2001 Accepting new patients

Locations

7445 Allen Rd
Ste 250
Allen Park, MI 48101
Phone (313) 386-5500

8338 Allen Rd
Ste 101
Allen Park, MI 48101
Phone (313) 386-5500

Interoperability endpoints

  • Direct secure messaging: jmccracken58853@direct.hfhs.org
  • Direct secure messaging: johnmccracken@wwp.allscriptsdirect.net

Organizations & group practices 1

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 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1811960081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7445 ALLEN RD",
            "address_2": "SUITE 250",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011963",
            "telephone_number": "313-386-5500",
            "fax_number": "313-386-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7445 ALLEN RD",
            "address_2": "SUITE 250",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011963",
            "telephone_number": "313-386-5500",
            "fax_number": "313-386-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRACKEN",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301063325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4281910",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen Park, MI

Sources for this page

Verify at the official NPI Registry.