Individual provider Active NPI

Rivonda Sesi, PA-C

  • Medical Physician Assistant
  • Rochester Hills, MI
National Provider Identifier
1053033324
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601011256APP22 Issued in MI
Practice address
441 S Livernois Rd Ste 100
Rochester Hills, MI 48307-2585
Phone
(248) 608-8800
NPI assigned
Sep 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601011256APP22 MI Primary

Addresses

Primary practice location

441 S Livernois Rd Ste 100
Rochester Hills, MI 48307-2585

Mailing address

4850 Vineyards Blvd
Sterling Heights, MI 48314-1961
Phone (586) 480-8929

Other identifiers 1

IdentifierTypeStateIssuer
5601011256APP22OtherMILICENSE NUMBER

Other names 1

  • Rivonda Hirmiz Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rsesi@rcbm.net Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221202002835 MI Practitioner - Physician Assistant 2365811999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Joel L Young MD PCGroup PAC ID 3971575929, 59 clinicians

Practice addresses (Care Compare)

441 S Livernois Rd
Rochester Hills, MI 48307-2585
Phone (248) 608-8800

441 S Livernois Rd
Suite 100
Rochester Hills, MI 48307-2586

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601011256APP22MIMDMedical Physician Assistant

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": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1053033324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 VINEYARDS BLVD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141961",
            "telephone_number": "586-480-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 S LIVERNOIS RD STE 100",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072585",
            "telephone_number": "248-608-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SESI",
        "first_name": "RIVONDA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601011256APP22",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "5601011256APP22",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rsesi@rcbm.net",
            "affiliation": "N",
            "endpointDescription": "rsesi@rcbm.net",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Communication",
            "address_1": "441 S Livernois Rd Ste 100",
            "city": "Rochester Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483072585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RIVONDA",
            "last_name": "HIRMIZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.