Active NPI
Nicole Patrice Metcalfe, M.D.
- Obstetrics & Gynecology Physician
- Southfield, MI
National Provider Identifier
1902812092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4301074612
- Practice address
- 29255 Northwestern Hwy
Suite 301
Southfield, MI 48034-1018 - Phone
- (248) 355-2852
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 4301074612 | MI | Primary |
Addresses
Primary practice location
29255 Northwestern Hwy
Suite 301
Southfield, MI 48034-1018
Mailing address
29255 Northwestern Hwy
Suite 301
Southfield, MI 48034-1018
Phone (248) 355-2852
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4622090 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301074612 | MI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Detroit Health Care for the Homeless | Past | Accepting new patients | |
| Northwest Dermatolgy Group, PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Warren, MI
- NPI 1043103989
-
- MOHS-Micrographic Surgery Physician
- Southfield, MI
- NPI 1285656777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199836800000",
"number": "1902812092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29255 NORTHWESTERN HWY",
"address_2": "SUITE 301",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341018",
"telephone_number": "248-355-2852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29255 NORTHWESTERN HWY",
"address_2": "SUITE 301",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341018",
"telephone_number": "248-355-2852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METCALFE",
"first_name": "NICOLE",
"middle_name": "PATRICE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2008-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4301074612",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4622090",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.