Individual provider Active NPI

Ann Marie Palaganas, D.O.

  • Family Medicine Physician
  • Warren, MI
National Provider Identifier
1932335874
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101018214 Issued in MI
Practice address
30229 Schoenherr Rd
Suite 300
Warren, MI 48088-6858
Phone
(586) 751-1177
Fax
(586) 751-1180
NPI assigned
Jun 5, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101018214 MI Primary

Addresses

Primary practice location

30229 Schoenherr Rd
Suite 300
Warren, MI 48088-6858

Mailing address

30229 Schoenherr Rd
Suite 300
Warren, MI 48088-6858
Phone (586) 751-1177

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
I20120810000693 MI Practitioner - Family Practice 8022264761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

26393 Dequindre Rd
Madison Heights, MI 48071-3821
Phone (248) 544-8326

27900 Grand River Ave
Suite 220
Farmington Hills, MI 48336-5965
Phone (248) 477-0552

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101018214MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC Family Medicine CurrentSince Aug 20, 2012 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Aug 20, 2012 Accepting new patients

Locations

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

26393 Dequindre Rd
Madison Heights, MI 48071
Phone (248) 544-8326

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

30229 Schoenherr Rd
Ste 300
Warren, MI 48088
Phone (586) 751-1177

Interoperability endpoints

  • Direct secure messaging: annmariepalaganas@lfc.allscriptsdirect.net
  • Direct secure messaging: apalaganas1143700@direct.hfhs.org

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.

Hospital & facility affiliations 5

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": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1932335874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30229 SCHOENHERR RD",
            "address_2": "SUITE 300",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480886858",
            "telephone_number": "586-751-1177",
            "fax_number": "586-751-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30229 SCHOENHERR RD",
            "address_2": "SUITE 300",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480886858",
            "telephone_number": "586-751-1177",
            "fax_number": "586-751-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALAGANAS",
        "first_name": "ANN MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-05",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101018214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.