Michael Shane Patterson, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5101014038 Issued in MI

Practice address

44720 Van Dyke Ave
Utica, MI 48317-5480

Phone

(586) 323-7148

Fax

(586) 323-7215

NPI assigned

Jul 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Internal Medicine

Education

Kansas City University of Med & Biosciences, College of Osteo Med, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
• Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047
• Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
• Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JHJEBD
• Direct secure messaging: mpatterson947654@direct.hfhs.org
• FHIR API: https://fhir4.healow.com/fhir/r4/JHJEBD/Endpoint/JHJEBD

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.

• Osteopathic Health Care Associates

  • Internal Medicine Physician
  • Utica, MI
  • NPI 1487045688

  Neuromusculoskeletal Medicine & Omm

  Medicare reassignment NPD Authorized official
• Henry Ford Wyandotte Hospital

  • Clinical Social Worker
  • Wyandotte, MI
  • NPI 1093940272
  Medicare reassignment NPD
• Urgent Care Specialists PC

  • Urgent Care Clinic/Center
  • Keego Harbor, MI
  • NPI 1356929202
  NPD Authorized official

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

• Henry Ford Macomb Hospital Corporation

  • General Acute Care Hospital
  • Clinton TWP, MI
  • NPI 1023114634
  Care Compare affiliation
• Henry Ford Macomb Hospital Corporation

  • General Acute Care Hospital
  • Warren, MI
  • NPI 1902842735
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Troy, MI
  • NPI 1306825997
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Royal Oak, MI
  • NPI 1689653305
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017
  Care Compare affiliation
• Henry Ford Health St. John Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1023088168
  Care Compare affiliation

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1891724688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44720 VAN DYKE AVE",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175480",
            "telephone_number": "586-221-2791",
            "fax_number": "586-231-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44720 VAN DYKE AVE",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175480",
            "telephone_number": "586-323-7148",
            "fax_number": "586-323-7215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "MICHAEL",
        "middle_name": "SHANE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MI",
            "license": "5101014038",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101014038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "700E031600",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "11-5501033-5",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle Stuart Ormsbee, DC
• Osteopathic Health Care Associates
• Liliana Pacitti, LPC
• Vamsi Krishna Panati, PT
• Tracy Ann Paraskevin, M.A., L.L.P.C., NCC
• Stephen P Perry, MD
• Rachel Pfeifer, PTA
• Phoenix Physical Therapy Inc
• Bernadine A. Pickett, M.A., L.P.C, NCC
• Rhyzianne Pimental

• Internal Medicine Physician in Utica, MI
• Providers in Utica, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.