Individual provider Active NPI

Nina Mastracci Kolbe, D.O.

  • Surgery Physician
  • Rochester Hills, MI
National Provider Identifier
1053635946
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5101018739 Issued in MI
Practice address
75 Barclay Cir
Suite 200
Rochester Hills, MI 48307-5820
Phone
(248) 853-9177
Fax
(248) 853-7258
NPI assigned
Mar 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5101018739 MI Primary

Addresses

Primary practice location

75 Barclay Cir
Suite 200
Rochester Hills, MI 48307-5820

Mailing address

75 Barclay Cir
Suite 200
Rochester Hills, MI 48307-5820
Phone (248) 853-9177

Other practice location 1

44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-1007

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address NKolbe@RGSPLC.directglo.com Direct
Direct Messaging Address nkolbe1242062@epic00.shdirect.org

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160714002599 MI Practitioner - General Surgery 2163645581 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Michigan State University College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester General Surgery PLCGroup PAC ID 8729114459, 7 clinicians

Practice addresses (Care Compare)

75 Barclay Cir
Suite 200
Rochester Hills, MI 48307-5821
Phone (248) 853-9177

Hospital & facility affiliations

  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029
  • Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)14
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101018739MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Medical Group- Specialty Services Surgery CurrentSince Apr 1, 2018 Accepting new patients
Rochester General Surgery PLC Surgery CurrentSince Aug 1, 2016 Accepting new patients

Locations

5701 Bow Pointe Dr
Ste 265
Clarkston, MI 48346
Phone (248) 384-8030

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

15959 Hall Rd
Ste 206
Macomb, MI 48044
Phone (248) 813-9677

75 Barclay Cir
Ste 200
Rochester Hills, MI 48307
Phone (248) 852-2040

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

Interoperability endpoints

  • Direct secure messaging: nkolbe@rgsplc.directglo.com
  • Direct secure messaging: nkolbe19212@direct.hfhs.org

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1269129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1053635946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BARCLAY CIR",
            "address_2": "SUITE 200",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075820",
            "telephone_number": "248-853-9177",
            "fax_number": "248-853-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BARCLAY CIR",
            "address_2": "SUITE 200",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075820",
            "telephone_number": "248-853-9177",
            "fax_number": "248-853-7258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44201 Dequindre Rd",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480851117",
            "country_code": "US",
            "telephone_number": "248-964-1007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLBE",
        "first_name": "NINA",
        "middle_name": "MASTRACCI",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-21",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101018739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NKolbe@RGSPLC.directglo.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "75 Barclay Cir",
            "address_2": "Suite 200",
            "city": "Rochester Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483075820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nkolbe1242062@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "44201 Dequindre Rd",
            "city": "Troy",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480851117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.