Organization Active NPI

Michael N Henein MD PC

  • Surgery Physician
  • Rochester Hills, MI
National Provider Identifier
1962671388
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
061311 Issued in MI
Legal business name
MICHAEL N HENEIN MD PC
Practice address
75 Barclay Circle
Suite 118
Rochester Hills, MI 48307
Phone
(248) 312-9300
Fax
(586) 776-8410
NPI assigned
Feb 29, 2008
Last updated
Oct 30, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

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

Authorized official

Name
Dr. Michael Naeim Henein, M.D.NPI 1275620635
Title
Owner
Phone
(248) 312-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 061311 MI Primary
Colon & Rectal Surgery Physician 208C00000X 061311 MI

Addresses

Primary practice location

75 Barclay Circle
Suite 118
Rochester Hills, MI 48307

Mailing address

75 Barclay Circle
Suite 118
Rochester Hills, MI 48307
Phone (248) 312-9300

Other identifiers 1

IdentifierTypeStateIssuer
4121120MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080714000266 MI Part B Supplier - Clinic/Group Practice 6800969502 Receives reassigned benefits from 1 practitioner
Practice locations: Rochester, MI

National Provider Directory

National Provider Directory
Tax ID family
Michael N Henein MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

21510 Harper Ave
St Clr Shores, MI 48080
Phone (586) 776-1888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509321600000",
    "number": "1962671388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BARCLAY CIRCLE",
            "address_2": "SUITE 118",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "48307",
            "telephone_number": "248-312-9300",
            "fax_number": "586-776-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BARCLAY CIRCLE",
            "address_2": "SUITE 118",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "48307",
            "telephone_number": "248-312-9300",
            "fax_number": "586-776-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL N HENEIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2017-10-30",
        "status": "A",
        "authorized_official_last_name": "HENEIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "NAEIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-312-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "061311",
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MI",
            "license": "061311",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4121120",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.