Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Alfred Carrillo

Individual provider Family Medicine Physician · NPI 1295429405

Michael Alfred Carrillo is a Family Practice in Livonia, Michigan. Graduated from Wayne State University School of Medicine in 2023, 3 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Years since qualifying
3
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

29200 Schoolcraft Rd
Livonia, MI 48150-2228
Phone: (734) 523-1050
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2799 W Grand Blvd, Detroit, MI 48202-2608 — (313) 916-2588

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301516798 (MI)

Record details

NPI number1295429405
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 8, 2023
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026
Mailing address29200 Schoolcraft Rd, Livonia, MI 48150-2228

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Livonia