Individual provider Active NPI

Narciso O Inez, M.D.

  • Surgery Physician
  • Rochester Hills, MI
National Provider Identifier
1114044666
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301032013 Issued in MI
Practice address
1451 Chevy Circuit
Rochester Hills, MI 48306-3905
Phone
(248) 601-1103
Fax
(248) 601-9776
NPI assigned
Mar 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4301032013 MI Primary

Addresses

Primary practice location

1451 Chevy Circuit
Rochester Hills, MI 48306-3905

Mailing address

1451 Chevy Circuit
Rochester Hills, MI 48306-3905
Phone (248) 601-1103

Other identifiers 2

IdentifierTypeStateIssuer
0206362731OtherMIBCBSMI
624920MedicaidMI

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 Medicine

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114044666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 CHEVY CIRCUIT",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483063905",
            "telephone_number": "248-601-1103",
            "fax_number": "248-601-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 CHEVY CIRCUIT",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483063905",
            "telephone_number": "248-601-1103",
            "fax_number": "248-601-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INEZ",
        "first_name": "NARCISO",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301032013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMI",
            "identifier": "0206362731",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "624920",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.