Individual provider Active NPI

Aaron Overly, D.O.

  • Surgery Physician
  • Auburn Hills, MI
National Provider Identifier
1861758880
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5101019913 Issued in MI
Practice address
2251 N Squirrel Rd Ste 201B
Auburn Hills, MI 48326-4602
Phone
(313) 647-3900
NPI assigned
Apr 3, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X 5101019913 MI Primary

Addresses

Primary practice location

2251 N Squirrel Rd Ste 201B
Auburn Hills, MI 48326-4602

Mailing address

2251 N Squirrel Rd Ste 201B
Auburn Hills, MI 48326-4602
Phone (313) 647-3900

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
I20171023001354 MI Practitioner - General Surgery 9133350549 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Semi Medical GroupGroup PAC ID 0648180406, 246 clinicians

Practice addresses (Care Compare)

22101 Moross Rd
Detroit, MI 48236-2148
Phone (586) 753-0011

2251 N Squirrel Rd
Suite 201
Auburn Hills, MI 48326-4602
Phone (313) 647-3900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy41
Melanoma (skin cancer) excision35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101019913MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital Current Accepting new patients
Henry Ford Semi Medical Group Surgery CurrentSince Jul 15, 2023 Accepting new patients
Port Huron Physicians Medical Group PC Surgery CurrentSince Aug 6, 2017 Accepting new patients
Pathology Specialists of Southeast Michigan PC Current Accepting new patients
Henry Ford Health St. John Hospital Surgery CurrentSince Jul 15, 2023 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Jul 15, 2023 Accepting new patients
Henry Ford Semi Medical Group Surgery CurrentSince Jul 15, 2023 Accepting new patients

Locations

2251 N Squirrel Rd
Ste 201
Auburn Hills, MI 48326
Phone (248) 652-5437

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

22201 Moross Rd
Ste 214
Detroit, MI 48236
Phone (313) 343-7110

4190 24th Ave
Ste 208
Fort Gratiot, MI 48059
Phone (810) 216-4000

19229 Mack Ave
Ste 38
Grosse Pointe Woods, MI 48236
Phone (313) 647-3900

19229 Mack Ave
Ste 34
Grosse Pointe Woods, MI 48236
Phone (313) 647-3245

17900 23 Mile Rd
Ste 407
Macomb, MI 48044
Phone (586) 868-9008

2609 Electric Ave
Ste B
Port Huron, MI 48060
Phone (810) 984-1148

2609 Electric Ave
Ste C
Port Huron, MI 48060
Phone (810) 216-1148

27472 Schoenherr Rd
Ste 150
Warren, MI 48088
Phone (586) 373-7777

30117 Schoenherr Rd
Ste 400
Warren, MI 48088
Phone (586) 552-4848

Interoperability endpoints

  • Direct secure messaging: aoverly57019@direct.hfhs.org

Organizations & group practices 7

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 5

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": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1861758880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 N SQUIRREL RD STE 201B",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483264602",
            "telephone_number": "313-647-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 N SQUIRREL RD STE 201B",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483264602",
            "telephone_number": "313-647-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERLY",
        "first_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-03",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101019913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn Hills, MI

Sources for this page

Verify at the official NPI Registry.