Individual provider Active NPI

Emil E Ebner, MD

  • Obstetrics & Gynecology Physician
  • Battle Creek, MI
National Provider Identifier
1851353825
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301041180 Issued in MI
Practice address
14231 Beadle Lake Rd
Battle Creek, MI 49014-8213
Phone
(269) 962-0441
Fax
(269) 962-0925
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301041180 MI Primary

Addresses

Primary practice location

14231 Beadle Lake Rd
Battle Creek, MI 49014-8213

Mailing address

14231 Beadle Lake Rd
Battle Creek, MI 49014-8213
Phone (269) 962-0441

Other identifiers 2

IdentifierTypeStateIssuer
4706486MedicaidMI
4939942MedicaidMI

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
I20050302000188 MI Practitioner - Obstetrics/Gynecology 4880647833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.06 of 100Reported as group
Quality
85.32
Promoting interoperability
100
Improvement activities
40
Cost
71.56

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ella E M Brown Charitable Circle CurrentSince Feb 1, 2012 Accepting new patients
Ella E M Brown Charitable Circle Current Accepting new patients
Ella E M Brown Charitable Circle CurrentSince Feb 1, 2012 Accepting new patients

Locations

14231 Beadle Lake Rd
Battle Creek, MI 49014
Phone (269) 704-5180

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417737600000",
    "number": "1851353825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14231 BEADLE LAKE RD",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490148213",
            "telephone_number": "269-962-0441",
            "fax_number": "269-962-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14231 BEADLE LAKE RD",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490148213",
            "telephone_number": "269-962-0441",
            "fax_number": "269-962-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBNER",
        "first_name": "EMIL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2014-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301041180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4706486",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4939942",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.