Individual provider Active NPI

Michael Y Greenley, MD

  • Ophthalmology Physician
  • Farmington Hills, MI
National Provider Identifier
1952392813
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301045964 Issued in MI
Practice address
29990 Northwestern Hwy
Farmington Hills, MI 48334-3225
Phone
(248) 538-6463
Fax
(248) 538-6470
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301045964 MI Primary

Addresses

Primary practice location

29990 Northwestern Hwy
Farmington Hills, MI 48334-3225

Mailing address

29990 Northwestern Hwy
Farmington Hills, MI 48334-3225
Phone (248) 538-6463

Other practice location 1

2300 Haggerty Rd Ste 1100
West Bloomfield, MI 48323-2185
Phone (248) 538-6463

Other identifiers 1

IdentifierTypeStateIssuer
4355120MedicaidMI

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
I20050725001134 MI Practitioner - Ophthalmology 0749217362 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Porretta and Bergman MD, PCGroup PAC ID 2466593025, 4 clinicians

Practice addresses (Care Compare)

29990 Northwestern Hwy
Farmington Hills, MI 48334-3225
Phone (248) 538-6463

Merit-based Incentive Payment System (MIPS)

Final score
93.1 of 100Reported as individual
Quality
98.32
Improvement activities
40
Cost
76.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery54

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Porretta & Bergman MD, PC Ophthalmology CurrentSince Jun 1, 2022 Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Jul 4, 2018 Accepting new patients
Porretta & Bergman MD, PC Ophthalmology CurrentSince Jun 1, 2022 Accepting new patients

Locations

29990 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 538-6463

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

3535 W 13 Mile Rd
Ste 555
Royal Oak, MI 48073
Phone (248) 551-2020

3535 W 13 Mile Rd
Royal Oak, MI 48073
Phone (248) 551-1010

28905 Northwestern Hwy
Southfield, MI 48034
Phone (248) 358-3937

2300 Haggerty Rd
Ste 1100
West Bloomfield, MI 48323
Phone (248) 538-6463

Interoperability endpoints

  • Direct secure messaging: mgreenle@direct.dmc.org
  • Direct secure messaging: greenley@bergmanporretta.emadirect.md

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1952392813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29990 NORTHWESTERN HWY",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343225",
            "telephone_number": "248-538-6463",
            "fax_number": "248-538-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29990 NORTHWESTERN HWY",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343225",
            "telephone_number": "248-538-6463",
            "fax_number": "248-538-6470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Haggerty Rd Ste 1100",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483232185",
            "country_code": "US",
            "telephone_number": "248-538-6463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENLEY",
        "first_name": "MICHAEL",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301045964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4355120",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.