Individual provider Active NPI

Patrick Daniel Huck, MD

  • Surgery Physician
  • Chelsea, MI
National Provider Identifier
1821280223
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
EMC0003750 Issued in MI
Practice address
14650 E Old US Highway 12
Ste 303
Chelsea, MI 48118
Phone
(734) 475-4177
Fax
(734) 475-3520
NPI assigned
Aug 10, 2007
Last updated
Jul 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35.092448 OH
Surgery Physician 208600000X EMC0003750 MI Primary

Addresses

Primary practice location

14650 E Old US Highway 12
Ste 303
Chelsea, MI 48118

Mailing address

24 Frank Lloyd Wright Drive
Suite J2000
Ann Arbor, MI 48105
Phone (734) 747-6766

Other identifiers 3

IdentifierTypeStateIssuer
H506050OtherOHMEDICARE
103096616MedicaidPA
0189953MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address patrick.huck@lhpg.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20161017001578 OH Practitioner - General Surgery 8628209335 Reassigns benefits to 1 organization
I20240726002816 MI Practitioner - General Surgery 8628209335 Reassigns benefits to 2 organizations
I20250129002522 WA Practitioner - General Surgery 8628209335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Northeastern Ohio University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Msu Health Care Inc.Group PAC ID 8628404936, 201 clinicians

Practice addresses (Care Compare)

4660 S Hagadorn Rd
Suite 600
East Lansing, MI 48823-5383
Phone (517) 267-2460

Merit-based Incentive Payment System (MIPS)

Final score
87.84 of 100Reported as group
Quality
86.21
Promoting interoperability
100
Improvement activities
40
Cost
73.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy18
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
EMC0003750MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Hospital System, Inc. CurrentSince Sep 1, 2016 Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince Jan 9, 2025 Accepting new patients
Iha Health Services Corporation Surgery CurrentSince Sep 1, 2024 Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince Jan 9, 2025 Accepting new patients
Iha Health Services Corporation Current Accepting new patients
Msu Health Care Inc Surgery CurrentSince May 1, 2025 Accepting new patients
Msu Health Care Inc. CurrentSince May 1, 2025 Accepting new patients
Lake Hospital System, Inc CurrentSince Sep 1, 2016 Accepting new patients
Msu Health Care Inc Current Accepting new patients
Public Hospital District No 2 Skagit County Washington Current Accepting new patients
Iha Health Service Corporation CurrentSince Sep 1, 2024 Accepting new patients
Lake Hospital System Inc Surgery Current Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840

14650 E Old US Highway 12
Ste 303
Chelsea, MI 48118
Phone (734) 475-4177

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

4660 S Hagadorn Rd
Ste 600
East Lansing, MI 48823
Phone (517) 267-2460

804 Service Rd
Ste A202
East Lansing, MI 48824
Phone (517) 884-2976

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656

36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

1213 24th St
Ste 700
Anacortes, WA 98221
Phone (360) 293-5142

Interoperability endpoints

  • Direct secure messaging: patrick.huck.1@25394.direct.athenahealth.com
  • Direct secure messaging: phuck349375@direct.aspirus.org

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1821280223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DRIVE",
            "address_2": "SUITE J2000",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48105",
            "telephone_number": "734-747-6766",
            "fax_number": "734-222-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14650 E OLD US HIGHWAY 12",
            "address_2": "STE 303",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "48118",
            "telephone_number": "734-475-4177",
            "fax_number": "734-475-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUCK",
        "first_name": "PATRICK",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-10",
        "last_updated": "2024-07-22",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.092448",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "EMC0003750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "H506050",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103096616",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0189953",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "patrick.huck@lhpg.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Baseline West Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "5105 Som Center Rd # 107",
            "city": "Willoughby",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440944203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chelsea, MI

Sources for this page

Verify at the official NPI Registry.