Individual provider Active NPI

Alfred Austin, D.O.

  • Surgery Physician
  • Grand Blanc, MI
National Provider Identifier
1841678133
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5101025663 Issued in MI
Practice address
8235 Holly Rd Ste 1
Grand Blanc, MI 48439-2441
Phone
(810) 694-9700
Fax
(910) 694-9940
NPI assigned
May 7, 2015
Last updated
Jun 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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 5315218427 MI
Surgery Physician 208600000X 5101025663 MI Primary

Addresses

Primary practice location

8235 Holly Rd Ste 1
Grand Blanc, MI 48439-2441

Mailing address

2202 Pinehurst LN
Grand Blanc, MI 48439-2603
Phone (989) 329-6546

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
I20200709000350 MI Practitioner - General Surgery 2365745072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Michigan State University College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesys Practice Partners IncGroup PAC ID 3476456492, 37 clinicians

Practice addresses (Care Compare)

8392 Holly Rd
Grand Blanc, MI 48439-1867
Phone (810) 695-1770

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)18
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5315218427MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesys Practice Partners Inc CurrentSince Aug 25, 2024 Accepting new patients
Genesys Practice Partners, Inc CurrentSince Aug 25, 2024 Accepting new patients
Surgical Associates, PLC Surgery CurrentSince Aug 3, 2020 Accepting new patients
Genesys Practice Partners Inc Current Accepting new patients
Henry Ford Health Genesys Hospital Past Accepting new patients

Locations

1460 N Center Rd
Burton, MI 48509
Phone (810) 424-2011

1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733

3399 Pollock Rd
Ste A
Grand Blanc, MI 48439
Phone (810) 606-7550

8235 Holly Rd
Ste 1
Grand Blanc, MI 48439
Phone (810) 694-9110

8392 Holly Rd
Grand Blanc, MI 48439
Phone (810) 694-9903

Interoperability endpoints

  • Direct secure messaging: alfredaustin@pmi.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1430956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1841678133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 PINEHURST LN",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392603",
            "telephone_number": "989-329-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8235 HOLLY RD STE 1",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392441",
            "telephone_number": "810-694-9700",
            "fax_number": "910-694-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "ALFRED",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-07",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5315218427",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101025663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.