Active NPI
Irvin J. Gastman, DO, PHD
- Public Health & General Preventive Medicine Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 5101007321
- Practice address
- 20901 W 7 Mile Rd
Detroit, MI 48219-1904 - Phone
- (313) 564-5510
- Fax
- (248) 336-9137
- NPI assigned
- Apr 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | 5101007321 | MI | Primary |
| Family Medicine Physician | 207Q00000X | IG007321 | MI |
Addresses
Primary practice location
20901 W 7 Mile Rd
Detroit, MI 48219-1904
Mailing address
18000 W 9 Mile Rd Ste 200
Southfield, MI 48075-4020
Phone (248) 336-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1293005 | Medicaid | MI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Michigan State University College of Human Medicine, 1977
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
18000 W 9 Mile Rd
Suite 200
Southfield, MI 48075-4020
Hospital & facility affiliations
- Beaumont Hospital - Farmington Hills
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IG007321 | MI | MD | Family Medicine Physician |
| 5101007321 | MI | MD | Public Health & General Preventive Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exclusive Physicians PLLC | Family Medicine | Current | Accepting new patients |
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| Michigan Healthcare Professionals PC | Family Medicine | Current | Accepting new patients |
Locations
3051 Momentum Pl
Chicago, IL 60689
20901 W 7 Mile Rd
Detroit, MI 48219
Phone (313) 532-2000
18463 Livernois Ave
Detroit, MI 48221
Phone (313) 369-1500
29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430
27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552
911 E 9 Mile Rd
Ferndale, MI 48220
Phone (248) 543-2229
1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300
25241 Grand River Ave
Redford, MI 48240
Phone (313) 538-3099
18000 W 9 Mile Rd
Ste 200
Southfield, MI 48075
18591 W 10 Mile Rd
Southfield, MI 48075
Phone (248) 395-2234
Interoperability endpoints
- irvin.gastman.1@33060.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1295023547
Family Medicine
-
- Family Medicine Physician
- Hamtramck, MI
- NPI 1659145506
-
- Durable Medical Equipment & Medical Supplies
- Lapeer, MI
- NPI 1992693303
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765843200000",
"number": "1942263843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18000 W 9 MILE RD STE 200",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754020",
"telephone_number": "248-336-4000",
"fax_number": "248-336-9137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20901 W 7 MILE RD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482191904",
"telephone_number": "313-564-5510",
"fax_number": "248-336-9137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASTMAN",
"first_name": "IRVIN",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "DO, PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "MI",
"license": "5101007321",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "IG007321",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1293005",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.