Organization Active NPI

Allergy and Asthma Institute of SE Michigan

  • Allergy & Immunology Physician
  • Farmington Hills, MI
National Provider Identifier
1992714174
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
5101013420 Issued in MI
Legal business name
ALLERGY AND ASTHMA INSTITUTE OF SE MICHIGAN
Doing business as
Allergy and Asthma Institute of SE Michigan
Practice address
27655 Middlebelt Rd Ste 100
Farmington Hills, MI 48334-5029
Phone
(248) 363-3232
Fax
(248) 363-3455
NPI assigned
Aug 5, 2006
Last updated
Mar 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Authorized official

Name
Dr. Chad Walter Mayer, DONPI 1467423855
Title
Physician
Phone
(248) 363-3232

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 5101013420 MI Primary

Addresses

Primary practice location

27655 Middlebelt Rd Ste 100
Farmington Hills, MI 48334-5029

Mailing address

27655 Middlebelt Rd Ste 100
Farmington Hills, MI 48334-5029
Phone (248) 363-3232

Other names 1

  • Allergy and Asthma Institute of SE Michigan Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080606000307 MI Part B Supplier - Clinic/Group Practice 9931279692 Receives reassigned benefits from 4 practitioners
Practice locations: Farmington Hills, MI

National Provider Directory

National Provider Directory

Locations

27655 Middlebelt Rd
Farmington Hills, MI 48334
Phone (313) 506-2272

27655 Middlebelt Rd
Ste 100
Farmington Hills, MI 48334
Phone (248) 363-3232

7010 Pontiac Trl
#B
West Bloomfield, MI 48323
Phone (248) 363-3232

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABECBD

Practitioners & affiliated clinicians

Practitioners 5

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": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1992714174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27655 MIDDLEBELT RD STE 100",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483345029",
            "telephone_number": "248-363-3232",
            "fax_number": "248-363-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27655 MIDDLEBELT RD STE 100",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483345029",
            "telephone_number": "248-363-3232",
            "fax_number": "248-363-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY AND ASTHMA INSTITUTE OF SE MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-363-3232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "5101013420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy and Asthma Institute of SE Michigan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 9, 2021; 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.