NPIMap

Individual provider Active NPI

Steven P Hadesman, MD

  • Internal Medicine Physician
  • Farmington Hills, MI
National Provider Identifier
1922097542
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301045851 Issued in MI
Practice address
30055 Northwestern Hwy Ste 160
Farmington Hills, MI 48334-3211
Phone
(248) 865-4150
Fax
(248) 865-4161
NPI assigned
Oct 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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 4301045851 MI Primary

Addresses

Primary practice location

30055 Northwestern Hwy Ste 160
Farmington Hills, MI 48334-3211

Mailing address

2800 Livernois Rd
Suite 500
Troy, MI 48083-1215
Phone (248) 680-8208

Other practice location 1

7633 E Jefferson Ave
Suite 290
Detroit, MI 48214-3730
Phone (313) 499-4890

Other identifiers 3

IdentifierTypeStateIssuer
0H208910OtherMIBLUE CROSS
N71840017OtherMIMEDICARE ID
1922063213OtherNPI

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
I20051121000657 MI Practitioner - Internal Medicine 3476463399 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Johns Hopkins University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Semi Medical GroupGroup PAC ID 0648180406, shared by 4 NPIs, 246 clinicians
Premier Therapy Centers, IncGroup PAC ID 5092605717, 140 clinicians

Practice addresses (Care Compare)

17900 23 Mile Rd
Macomb, MI 48044-1161
Phone (313) 647-3900

30055 Northwestern Hwy
Suite 160
Farmington Hills, MI 48334-3211
Phone (248) 865-4160

33010 Northwestern Hwy
West Bloomfield, MI 48322-3634

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301045851MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital Internal Medicine CurrentSince Jun 15, 2007 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Henry Ford Health Providence Hospital Current Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Jun 15, 2007 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Jul 1, 2023 Accepting new patients
Henry Ford Health Providence Hospital Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients
Henry Ford Health Rochester Hospital Past Accepting new patients

Locations

7633 E Jefferson Ave
Ste 290
Detroit, MI 48214
Phone (313) 499-4890

7633 E Jefferson Ave
Ste 70
Detroit, MI 48214
Phone (313) 499-4775

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

30055 Northwestern Hwy
Ste 160
Farmington Hills, MI 48334
Phone (248) 865-4150

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

2800 Livernois Rd
Ste 500
Troy, MI 48083
Phone (586) 753-0400

11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000

28000 Dequindre Rd
Warren, MI 48092
Phone (586) 743-0944

Interoperability endpoints

  • Direct secure messaging: shadesman1131005@direct.hfhs.org

Organizations & group practices 10

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 8

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": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1922097542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 LIVERNOIS RD",
            "address_2": "SUITE 500",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831215",
            "telephone_number": "248-680-8208",
            "fax_number": "248-680-8208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30055 NORTHWESTERN HWY STE 160",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343211",
            "telephone_number": "248-865-4150",
            "fax_number": "248-865-4161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7633 E Jefferson Ave",
            "address_2": "Suite 290",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482143730",
            "country_code": "US",
            "telephone_number": "313-499-4890",
            "fax_number": "313-499-4945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HADESMAN",
        "first_name": "STEVEN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301045851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0H208910",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "N71840017",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1922063213",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.