Individual provider Active NPI

Maria Theresa Pacis Biederman

  • Cardiovascular Disease Physician
  • Troy, MI
National Provider Identifier
1104898667
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
5101013744 Issued in MI
Practice address
3310 W Big Beaver Rd
Suite 137
Troy, MI 48084-2809
Phone
(248) 792-5200
Fax
(248) 712-4214
NPI assigned
Feb 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 5101013744 MI Primary

Addresses

Primary practice location

3310 W Big Beaver Rd
Suite 137
Troy, MI 48084-2809

Mailing address

3310 W Big Beaver Rd
Suite 137
Troy, MI 48084-2809
Phone (248) 792-5200

Other identifiers 1

IdentifierTypeStateIssuer
482350811MedicaidMI

Other names 1

  • Dr. Maria Theresa Pacis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1104898667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 W BIG BEAVER RD",
            "address_2": "SUITE 137",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480842809",
            "telephone_number": "248-792-5200",
            "fax_number": "248-712-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 W BIG BEAVER RD",
            "address_2": "SUITE 137",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480842809",
            "telephone_number": "248-792-5200",
            "fax_number": "248-712-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACIS BIEDERMAN",
        "first_name": "MARIA",
        "middle_name": "THERESA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "5101013744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "482350811",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "PACIS",
            "middle_name": "THERESA",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.