Active NPI
Joseph N Hagen, DO
- Internal Medicine Physician
- Bingham Farms, MI
National Provider Identifier
1811989650
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Nov 20, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 5101012230
- Practice address
- 31500 Telegraph Rd
Suite 150
Bingham Farms, MI 48025-4367 - Phone
- (248) 593-0575
- Fax
- (877) 402-0518
- NPI assigned
- Aug 18, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5101012230 | MI | Primary |
Addresses
Primary practice location
31500 Telegraph Rd
Suite 150
Bingham Farms, MI 48025-4367
Mailing address
31500 Telegraph Rd
Suite 150
Bingham Farms, MI 48025-4313
Phone (248) 593-0575
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 446975711 | Medicaid | MI | |
| 5101012230 | Other | MI | CONTROLLED SUBSTANCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sciometrix Inc | Current | Accepting new patients | |
| Physician and Feet Specialist, PLLC | Internal Medicine | Past | Accepting new patients |
| Dearborn Medical & Rehabilitation Center | Past | Accepting new patients | |
| Surburban LLC | Past | Accepting new patients |
Locations
306 S Washington Ave
Ste 600
Royal Oak, MI 48067
Organizations & group practices 4
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.
-
- General Practice Physician
- Staten Island, NY
- NPI 1457065591
-
- Clinic/Center
- Dearborn, MI
- NPI 1942392782
-
- Internal Medicine Physician
- Detroit, MI
- NPI 1598996902
-
- Family Medicine Physician
- Southfield, MI
- NPI 1902036304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471219200000",
"number": "1811989650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31500 TELEGRAPH RD",
"address_2": "SUITE 150",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480254313",
"telephone_number": "248-593-0575",
"fax_number": "877-402-0581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31500 TELEGRAPH RD",
"address_2": "SUITE 150",
"city": "BINGHAM FARMS",
"state": "MI",
"postal_code": "480254367",
"telephone_number": "248-593-0575",
"fax_number": "877-402-0518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGEN",
"first_name": "JOSEPH",
"middle_name": "N",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-18",
"last_updated": "2016-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "5101012230",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "446975711",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONTROLLED SUBSTANCE",
"identifier": "5101012230",
"state": "MI"
}
],
"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 Aug 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.