Individual provider Active NPI

Michael J Noorily, M.D.

  • Surgery Physician
  • Clinton Township, MI
National Provider Identifier
1821112558
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301059773 Issued in MI
Practice address
43331 Commons Dr
Clinton Township, MI 48038-1109
Phone
(586) 263-5410
Fax
(586) 263-7131
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301059773 MI Primary

Addresses

Primary practice location

43331 Commons Dr
Clinton Township, MI 48038-1109

Mailing address

1684 Bracken
Bloomfield Hills, MI 48302
Phone (248) 865-7352

Other identifiers 3

IdentifierTypeStateIssuer
4110717MedicaidMI
1316031339OtherMIGROUP NPI
1316031339OtherMIGROUP NPI

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
I20110406000320 MI Practitioner - General Surgery 9830373455 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Wayne State University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Macomb Hospital CorporationGroup PAC ID 7911808381, 349 clinicians
Surgical Associates of Macomb PLCGroup PAC ID 2365330263, 2 clinicians

Practice addresses (Care Compare)

15520 19 Mile Rd
Suite 430
Clinton Township, MI 48038-6314
Phone (586) 228-6200

15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone (586) 263-2300

43331 Commons Dr
Clinton Township, MI 48038-1109
Phone (810) 263-5410

Hospital & facility affiliations

  • Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301059773MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Hospital Corporation Current Accepting new patients
Surgical Associates of Macomb, PLC Surgery CurrentSince Jul 1, 1999 Accepting new patients
Henry Ford Macomb Hospital Corporation Surgery CurrentSince Feb 5, 2013 Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Feb 5, 2013 Accepting new patients

Locations

30795 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 421-3000

16151 19 Mile Rd
Ste 300
Clinton Twp, MI 48038
Phone (586) 228-1760

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

15520 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 416-2000

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

43331 Commons Dr
Clinton Twp, MI 48038
Phone (586) 263-5410

Interoperability endpoints

  • Direct secure messaging: mnoorily63537@direct.hfhs.org

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.

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1821112558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1684 BRACKEN",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "48302",
            "telephone_number": "248-865-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43331 COMMONS DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381109",
            "telephone_number": "586-263-5410",
            "fax_number": "586-263-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOORILY",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301059773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4110717",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP  NPI",
            "identifier": "1316031339",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1316031339",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.