NPIMap

Organization Active NPI

Royal Oak Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Royal Oak, MI
National Provider Identifier
1073818654
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
1010000053 Issued in MI
Legal business name
ROYAL OAK SURGICAL CENTER, LLC
Practice address
5130 Coolidge Hiway
Suite 120
Royal Oak, MI 48073
Phone
(248) 658-0878
Fax
(248) 435-0930
NPI assigned
Jan 13, 2011
Last updated
May 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Authorized official

Name
Hassan Oueis, DDSNPI 1386813244
Title
Dental Director
Phone
(248) 658-0878

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 636902 MI
Ambulatory Surgical Clinic/Center 261QA1903X 1010000053 MI Primary

Addresses

Primary practice location

5130 Coolidge Hiway
Suite 120
Royal Oak, MI 48073

Mailing address

5130 Coolidge Hwy Ste 120
Royal Oak, MI 48073-1001
Phone (248) 658-0878

Other names 1

  • Royal Oak Surgical Center PLLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110307000960 MI Part B Supplier - Ambulatory Surgical Center 9931381381 Practice locations: Royal Oak, MI

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Royal Oak Surgical CenterCCN 23C0001070
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2011143Royal Oak Surgical Center5130 Coolidge Hwy Suite 120, Royal Oak, MI 48073Certificate of waiverMay 6, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1073818654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 COOLIDGE HWY STE 120",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480731001",
            "telephone_number": "248-658-0878",
            "fax_number": "248-435-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 COOLIDGE HIWAY",
            "address_2": "SUITE 120",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "48073",
            "telephone_number": "248-658-0878",
            "fax_number": "248-435-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL OAK SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "OUEIS",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "DENTAL DIRECTOR",
        "authorized_official_telephone_number": "248-658-0878",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MI",
            "license": "636902",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MI",
            "license": "1010000053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royal Oak Surgical Center PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Royal Oak Surgical Center PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.