Individual provider Active NPI

Alberto Julian Aviles, M.D.

  • Surgery of the Hand (Plastic Surgery) Physician
  • Southfield, MI
National Provider Identifier
1093880403
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
4301087507 Issued in MI
Practice address
29201 Telegraph Rd Ste 200
Southfield, MI 48034-7645
Phone
(249) 936-0067
Fax
(248) 716-5955
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 4301087507 MI
Surgery Physician 208600000X 4301087507 MI
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 4301087507 MI Primary

Addresses

Primary practice location

29201 Telegraph Rd Ste 200
Southfield, MI 48034-7645

Mailing address

29201 Telegraph Rd Ste 200
Southfield, MI 48034-7645
Phone (248) 936-0067

Other identifiers 1

IdentifierTypeStateIssuer
700E012740OtherMIBCBSM GROUP NUMBER

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
I20081029000107 MI Practitioner - Plastic and Reconstructive SurgeryPractitioner - General SurgeryPractitioner - Hand Surgery 3476657099 Reassigns benefits to 2 organizations
Practice locations: Novi, MI; Warren, MI

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healox Health PLLCGroup PAC ID 0648685594, 10 clinicians
Alberto J Aviles MD PLLCGroup PAC ID 5395175988, 2 clinicians

Practice addresses (Care Compare)

29201 Telegraph Rd
Suite 200
Southfield, MI 48034-7645
Phone (248) 357-5000

Hospital & facility affiliations

  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
  • Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195
  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision15
Removal of tissue449

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301087507MIMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healox Health PLLC CurrentSince Jan 15, 2021 Accepting new patients
Alberto J Aviles MD, PLLC Plastic Surgery CurrentSince Jan 1, 2008 Accepting new patients

Locations

47601 Grand River Ave
Ste B223
Novi, MI 48374
Phone (248) 465-4335

47601 Grand River Ave
Ste B233
Novi, MI 48374
Phone (248) 465-4847

22250 Providence Dr
Ste 300
Southfield, MI 48075
Phone (248) 440-2162

29201 Telegraph Rd
Ste 200
Southfield, MI 48034
Phone (248) 357-5000

29201 Telegraph Rd
Ste 450
Southfield, MI 48034
Phone (248) 304-7659

27472 Schoenherr Rd
Ste 108
Warren, MI 48088
Phone (586) 533-5051

11900 E 12 Mile Rd
Ste 210
Warren, MI 48093
Phone (586) 558-4700

Interoperability endpoints

  • Direct secure messaging: aaviles1115696@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 4

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1093880403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD STE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347645",
            "telephone_number": "248-936-0067",
            "fax_number": "248-716-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD STE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347645",
            "telephone_number": "249-936-0067",
            "fax_number": "248-716-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILES",
        "first_name": "ALBERTO",
        "middle_name": "JULIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "4301087507",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301087507",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "MI",
            "license": "4301087507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM GROUP NUMBER",
            "identifier": "700E012740",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.