Active NPI
Aaron L Ellenbogen, D.O.
- Neurology Physician
- Farmington Hills, MI
National Provider Identifier
1962472241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 014092
- Practice address
- 28595 Orchard Lake Rd
Suite 200
Farmington Hills, MI 48334-2977 - Phone
- (248) 553-0010
- Fax
- (248) 553-5957
- NPI assigned
- Jan 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 014092 | MI | Primary |
Addresses
Primary practice location
28595 Orchard Lake Rd
Suite 200
Farmington Hills, MI 48334-2977
Mailing address
28595 Orchard Lake Rd
Suite 200
Farmington Hills, MI 48334-2977
Phone (248) 553-0010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4498786 | 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
- Neurology
- Education
- Michigan State University College of Osteopathic Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
28595 Orchard Lake Rd
Suite 200
Farmington Hills, MI 48334-2979
Phone (248) 553-0010
Hospital & facility affiliations
- Beaumont Hospital Royal Oak
- Henry Ford Health West Bloomfield Hospital
- Beaumont Hospital, Troy
- Henry Ford Health Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.34 of 100
- Quality
- 75.8
- Improvement activities
- 40
- Cost
- 84.8
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014092 | MI | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glendale Neurological Associates P C | Neurology | Current | Accepting new patients |
| West Michigan Aas LLC | Current | Accepting new patients |
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1697
- aellenbogen@mind.gwaydirect.com
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.
-
- Neurology Physician
- Farmington Hills, MI
- NPI 1639134414
-
- Anesthesiology Physician
- Novi, MI
- NPI 1295149227
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- General Acute Care Hospital
- West Bloomfield, MI
- NPI 1407867559
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519689600000",
"number": "1962472241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28595 ORCHARD LAKE RD",
"address_2": "SUITE 200",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483342977",
"telephone_number": "248-553-0010",
"fax_number": "248-553-5957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28595 ORCHARD LAKE RD",
"address_2": "SUITE 200",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483342977",
"telephone_number": "248-553-0010",
"fax_number": "248-553-5957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLENBOGEN",
"first_name": "AARON",
"middle_name": "L",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2018-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MI",
"license": "014092",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4498786",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.