Individual provider Active NPI

Mary Judith Schlaff

  • Emergency Medicine Physician
  • Troy, MI
National Provider Identifier
1962557702
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301045874 Issued in MI
Practice address
44201 Dequindre Rd Ste Ec
Troy, MI 48085-1117
Phone
(248) 964-5111
Fax
(248) 964-5068
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301045874 MI Primary

Addresses

Primary practice location

44201 Dequindre Rd Ste Ec
Troy, MI 48085-1117

Mailing address

3601 W. 13 Mile Road, 400 FSC
Physician Contract Services
Royal Oak, MI 48073-6769
Phone (248) 423-2410

Other practice location 1

36555 26 Mile Rd Ste 1100
Lenox, MI 48048-3186
Phone (947) 523-4040

Other practice location 2

3601 W. 13 Mile Road
Emergency Department
Royal Oak, MI 48073-6769
Phone (248) 423-2410

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
I20060109000531 MI Practitioner - Emergency Medicine 0941223614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.64 of 100Reported as group
Quality
85.06
Promoting interoperability
100
Improvement activities
40
Cost
77.9

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Medical Group Hospital -Based Services CurrentSince Mar 3, 2018 Accepting new patients

Locations

36555 26 Mile Rd
Ste 1100
Lenox, MI 48048
Phone (947) 523-4010

3601 W 13 Mile Rd
#400
Royal Oak, MI 48073
Phone (248) 423-2481

3601 W 13 Mile Rd
Royal Oak, MI 48073

44201 Dequindre Rd
Ste Ec
Troy, MI 48085
Phone (248) 259-3088

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

Organizations & group practices 1

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1962557702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W. 13 MILE ROAD, 400 FSC",
            "address_2": "PHYSICIAN CONTRACT SERVICES",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736769",
            "telephone_number": "248-423-2410",
            "fax_number": "248-423-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44201 DEQUINDRE RD STE EC",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851117",
            "telephone_number": "248-964-5111",
            "fax_number": "248-964-5068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36555 26 Mile Rd Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Lenox",
            "state": "MI",
            "postal_code": "480483186",
            "country_code": "US",
            "telephone_number": "947-523-4040",
            "fax_number": "947-523-4011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3601 W. 13 MILE ROAD",
            "address_2": "EMERGENCY DEPARTMENT",
            "address_purpose": "LOCATION",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736769",
            "country_code": "US",
            "telephone_number": "248-423-2410",
            "fax_number": "248-423-2576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHLAFF",
        "first_name": "MARY",
        "middle_name": "JUDITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301045874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.