Individual provider Active NPI

Derek Michael Hoeft, PA

  • Physician Assistant
  • Southfield, MI
National Provider Identifier
1952856593
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601007957 Issued in MI
Practice address
16001 W 9 Mile Rd # 3
Southfield, MI 48075-4818
Phone
(248) 849-2600
Fax
(248) 849-2610
NPI assigned
Aug 24, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601007957 MI Primary

Addresses

Primary practice location

16001 W 9 Mile Rd # 3
Southfield, MI 48075-4818

Mailing address

16001 W 9 Mile Rd # 3
Southfield, MI 48075-4818
Phone (248) 849-2600

Other practice location 1

44201 Dequindre Rd
Beaumont Hospital - Troy
Troy, MI 48085-1117
Phone (248) 964-4866

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dhoeft74633@direct.beaumont.edu

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160929000387 MI Practitioner - Physician Assistant 5799072104 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health Providence HospitalGroup PAC ID 6103738703, 364 clinicians
Genesys Practice Partners IncGroup PAC ID 3476456492, 37 clinicians

Practice addresses (Care Compare)

1101 W University Dr
Rochester, MI 48307-1863
Phone (248) 652-5000

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 424-3000

16001 W 9 Mile Rd 3Rd FL
Providence Hospital Gastrology
Southfield, MI 48075-4818
Phone (248) 849-6033

16001 W 9 Mile Rd 3Rd Floor
Providence Hospital Gastrology
Southfield, MI 48075-4818
Phone (248) 849-6033

3399 Pollock Rd
Suite a
Grand Blanc, MI 48439-8395
Phone (810) 606-7550

Hospital & facility affiliations

  • Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Feb 28, 2022 Accepting new patients
Genesys Practice Partners,Inc CurrentSince Mar 1, 2022 Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince Feb 28, 2022 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Feb 28, 2022 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Feb 28, 2022 Accepting new patients
Ascension Providence Hosptial CurrentSince Feb 28, 2022 Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients

Locations

1117 S Van Dyke Rd
Ste 300
Bad Axe, MI 48413

1460 N Center Rd
Burton, MI 48509
Phone (810) 424-2011

3399 Pollock Rd
Ste A
Grand Blanc, MI 48439
Phone (810) 606-7550

1 Genesys Pkwy
Ste 4642
Grand Blanc, MI 48439
Phone 8106067669 ext. 3

1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733

1400 Genesys Pkwy
#B136
Grand Blanc, MI 48439
Phone (810) 606-7629

1 Genesys Pkwy
Ste 3452
Grand Blanc, MI 48439
Phone (248) 849-2600

27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

26850 Providence Pkwy
Ste 470
Novi, MI 48374
Phone (248) 319-3000

1135 W University Dr
Ste 230
Rochester Hls, MI 48307
Phone (248) 824-2630

3570 Shattuck Rd
Saginaw, MI 48603
Phone (989) 792-5353

1015 S Washington Ave
Saginaw, MI 48601
Phone (989) 754-3289

16001 W 9 Mile Rd
Fl 3
Southfield, MI 48075
Phone (248) 849-2600

16001 W 9 Mile Rd
#3
Southfield, MI 48075
Phone (248) 384-9260

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

11900 E 12 Mile Rd
Ste 308
Warren, MI 48093
Phone (586) 574-5080

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 1

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": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1952856593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16001 W 9 MILE RD # 3",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754818",
            "telephone_number": "248-849-2600",
            "fax_number": "248-849-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16001 W 9 MILE RD # 3",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754818",
            "telephone_number": "248-849-2600",
            "fax_number": "248-849-2610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44201 Dequindre Rd",
            "address_2": "Beaumont Hospital - Troy",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480851117",
            "country_code": "US",
            "telephone_number": "248-964-4866",
            "fax_number": "248-964-4848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOEFT",
        "first_name": "DEREK",
        "middle_name": "MICHAEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-24",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dhoeft74633@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "44201 Dequindre Rd",
            "address_2": "Beaumont Hospital - Troy",
            "city": "Troy",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480851117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.