NPIMap

Individual provider Active NPI

Greg Hackel, DO

  • Internal Medicine Physician
  • Hamtramck, MI
National Provider Identifier
1891723185
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101011844 Issued in MI
Practice address
9100 Brombach St
Hamtramck, MI 48212-3473
Phone
(313) 972-9001
Fax
(313) 972-9038
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101011844 MI Primary

Addresses

Primary practice location

9100 Brombach St
Hamtramck, MI 48212-3473

Mailing address

2450 Midvale St
Birmingham, MI 48009-1521
Phone (313) 399-9803

Other identifiers 3

IdentifierTypeStateIssuer
4834332MedicaidMI
700F374320OtherMIBCBS OF MI
CA1704-P00278505OtherMIRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040123000657 MI Practitioner - Internal Medicine 8628970225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Michigan State University College of Osteopathic Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

1 Ford PL
Detroit, MI 48202-3450
Phone (313) 874-6677

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

2799 W Grand Blvd
Detroit, MI 48202-2608

9100 Brombach St
Hamtramck, MI 48212-3473
Phone (313) 972-9000

Hospital & facility affiliations

  • The Medical Team Home health agency, Livonia, MI, CCN 237125
  • Advisacare Home health agency, Troy, MI, CCN 237094
  • A Choice Home Health Care, Inc. Home health agency, Troy, MI, CCN 237747
  • Corpore Sano Home Health Care Home health agency, Plymouth, MI, CCN 239254
  • Optimal Care Home Health Home health agency, Bingham Farms, MI, CCN 237504
  • The Medical Team Inc Hospice, Livonia, MI, CCN 231645
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089
  • Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Current Accepting new patients
Henry Ford Health System CurrentSince May 1, 2008 Accepting new patients
Henry Ford Health System Internal Medicine CurrentSince May 1, 2008 Accepting new patients
Senior Health Care Associates, PC Past Accepting new patients
Gentle Love Visiting Physicians Group LLC Past Accepting new patients
Henry Ford Maplegrove Center Past Accepting new patients
US Healthcare Mi, PC PastSince Mar 20, 2014 Accepting new patients

Locations

1961 S Telegraph Rd
Bloomfield Township, MI 48302
Phone (248) 319-6190

1 Ford Pl
#2E
Detroit, MI 48202
Phone (313) 874-4688

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

9100 Brombach St
Hamtramck, MI 48212
Phone (313) 972-9000

22505 Allen Rd
Woodhaven, MI 48183
Phone (734) 671-6217

Interoperability endpoints

  • Direct secure messaging: ghackel16949@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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1891723185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 MIDVALE ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091521",
            "telephone_number": "313-399-9803",
            "fax_number": "313-972-9038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 BROMBACH ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123473",
            "telephone_number": "313-972-9001",
            "fax_number": "313-972-9038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKEL",
        "first_name": "GREG",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101011844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4834332",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "700F374320",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CA1704-P00278505",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamtramck, MI

Sources for this page

Verify at the official NPI Registry.