Individual provider Active NPI

Matthew Lavigne McGee, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Troy, MI
National Provider Identifier
1811982804
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
4301046108 Issued in MI
Practice address
1950 E Wattles Rd
Suite 110
Troy, MI 48085-5099
Phone
(248) 528-0050
Fax
(248) 528-0909
NPI assigned
Sep 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 4301046108 MI Primary

Addresses

Primary practice location

1950 E Wattles Rd
Suite 110
Troy, MI 48085-5099

Mailing address

1950 E Wattles Rd
Suite 110
Troy, MI 48085-5099
Phone (248) 528-0050

Other identifiers 1

IdentifierTypeStateIssuer
2506327071OtherMIBCBS OF MICHIGAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmcgee504523@direct.hfhs.org

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
I20110113000427 MI Practitioner - Physical Medicine and Rehabilitation 5395851737 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Wayne State University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Physician PartnersGroup PAC ID 8921482605, 79 clinicians

Practice addresses (Care Compare)

15500 19 Mile Rd
Suite 360
Clinton TWP, MI 48038-6331
Phone (586) 649-9009

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301046108MIMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Ancillary Services Current Accepting new patients
Henry Ford Physician Partners CurrentSince Sep 1, 2022 Accepting new patients
Internal Medicine Associates of Mt. Clemens, PC Current Accepting new patients
Henry Ford Physician Partners CurrentSince Sep 1, 2022 Accepting new patients
Alliance Health Professionals, PLLC CurrentSince Jan 1, 2018 Accepting new patients

Locations

2689 Solution Ctr
Chicago, IL 60677

15500 19 Mile Rd
Ste 360
Clinton Twp, MI 48038
Phone (313) 286-8840

133 S Main St
Mount Clemens, MI 48043
Phone (586) 329-1880

58024 Van Dyke Rd
Ste A
Washington, MI 48094

58024 Van Dyke Rd
Washington Township, MI 48094
Phone (586) 781-5535

Organizations & group practices 5

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": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1811982804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 E WATTLES RD",
            "address_2": "SUITE 110",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480855099",
            "telephone_number": "248-528-0050",
            "fax_number": "248-528-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 E WATTLES RD",
            "address_2": "SUITE 110",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480855099",
            "telephone_number": "248-528-0050",
            "fax_number": "248-528-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGEE",
        "first_name": "MATTHEW",
        "middle_name": "LAVIGNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301046108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "2506327071",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmcgee504523@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "15500 19 Mile Rd Ste 360",
            "city": "Clinton Township",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480386331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.