Individual provider

Michael Fozo, MD

Plastic Surgery within the Head & Neck (Otolaryngology) Physician Medicare enrolled

Michael Fozo, MD is a Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Saint Clair Shores, MI, registered under NPI 1114019627.

Getting there

The practice address on file is 21000 E 12 MILE RD SUITE 111, Saint Clair Shores, MI 48081. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

21000 E 12 MILE RD SUITE 111, Saint Clair Shores, MI 48081 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
MF075562 MI Plastic Surgery within the Head & Neck… primary

This provider holds licence MF075562 issued in MI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Otolaryngology
PAC ID
4789871971
Enrollment ID
I20101214000912

Medicare enrolment is recorded as approved under the provider type Practitioner - Otolaryngology. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Plastic Surgery within the Head & Neck covers

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. NUCC Health Care Provider Taxonomy, code 207YX0007X
Allopathic & Osteopathic Physicians Otolaryngology Plastic Surgery within the Head & Neck

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1114019627 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateSep 29, 2006
Last updatedOct 5, 2007
StatusActive
Sole proprietorNo
CredentialMD
Practice address 21000 E 12 MILE RD
SUITE 111
Saint Clair Shores, MI 48081
(586) 779-7610
Other identifiers 4339229 · Other
H68407 · Other
0501379 · Other
4505853 · Medicaid (MI)
136815 · Other
P00014677 · Other
141736 · Other
16056 · Other
6029816 · Other
This record was last updated on Oct 5, 2007, roughly 18 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1114019627 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 1 4 0 1 9 6 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 2 4 0 1 9 6 4

Sum = 53 · next multiple of 10 = 60 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1114019627?
NPI 1114019627 is the National Provider Identifier assigned to Michael Fozo, MD in Saint Clair Shores, MI. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Plastic Surgery within the Head & Neck cover?
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide…
How do I contact Michael Fozo, MD?
The phone number on file with NPPES is (586) 779-7610, last updated Oct 5, 2007. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Michael Fozo, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1114019627 a valid number?
Yes. 1114019627 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.