Individual provider Active NPI

Xiaofan Mi, MD

  • Ophthalmology Physician
  • Detroit, MI
National Provider Identifier
1922591635
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301509270 Issued in MI
Practice address
4717 Saint Antoine St
Detroit, MI 48201
Phone
(313) 577-8900
NPI assigned
Jun 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A178176 CA
Ophthalmology Physician 207W00000X 4351043756 MI
Ophthalmology Physician 207W00000X 4301509270 MI Primary

Addresses

Primary practice location

4717 Saint Antoine St
Detroit, MI 48201

Mailing address

400 Mack Ave
Detroit, MI 48201-2136
Phone (313) 448-9006

Other practice location 1

100 Stein Plz Fl 1
Los Angeles, CA 90095-7065
Phone (310) 825-5000

Other practice location 2

10000 Telegraph Rd
Taylor, MI 48180-3330
Phone (313) 295-5000

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
I20230523001683 MI Practitioner - Ophthalmology 3072869908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physician GroupGroup PAC ID 8628087681, 399 clinicians

Practice addresses (Care Compare)

4717 Saint Antoine St
Detroit, MI 48201-1423
Phone (313) 577-8900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A178176CAMDOphthalmology Physician
4301509270MIMDOphthalmology Physician
4351043756MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Group Ophthalmology CurrentSince May 9, 2023 Accepting new patients
University Physician Group Past Accepting new patients
University Physician Group Past Accepting new patients

Locations

400 Mack Ave
Detroit, MI 48201
Phone (313) 448-9006

4717 Saint Antoine St
Detroit, MI 48201
Phone (313) 577-7614

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

400 Mack Ave
Ste 2
Detroit, MI 48201
Phone (313) 448-9006

26400 W 12 Mile Rd
Ste 60
Southfield, MI 48034
Phone (248) 594-6702

10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000

1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200

Interoperability endpoints

  • Direct secure messaging: xiaofan.mi.1@19711.direct.athenahealth.com
  • Direct secure messaging: xmi998879@direct.uclahealth.org
  • Direct secure messaging: xmi430596@direct.hfhs.org

Organizations & group practices 3

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 3

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": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1922591635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MACK AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012136",
            "telephone_number": "313-448-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4717 SAINT ANTOINE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48201",
            "telephone_number": "313-577-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Stein Plz Fl 1",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900957065",
            "country_code": "US",
            "telephone_number": "310-825-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10000 Telegraph Rd",
            "address_purpose": "LOCATION",
            "city": "Taylor",
            "state": "MI",
            "postal_code": "481803330",
            "country_code": "US",
            "telephone_number": "313-295-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MI",
        "first_name": "XIAOFAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-08",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A178176",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4351043756",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301509270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.