Individual provider Active NPI

Todd Y Nida, MD

  • Neurological Surgery Physician
  • Pontiac, MI
National Provider Identifier
1114914835
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
4301066041 Issued in MI
Practice address
44555 Woodward Ave
Suite 305
Pontiac, MI 48341
Phone
(248) 858-3812
Fax
(248) 858-3815
NPI assigned
Sep 29, 2005
Last updated
Oct 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 4301066041 MI Primary

Addresses

Primary practice location

44555 Woodward Ave
Suite 305
Pontiac, MI 48341

Mailing address

24 Frank Lloyd Wright Drive
Suite J2000
Ann Arbor, MI 48105
Phone (734) 747-6766

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
I20040109000974 MI Practitioner - Neurosurgery 3870493570 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Minnesota Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iha Olma Specialty Services LLCGroup PAC ID 8426464884, 42 clinicians

Practice addresses (Care Compare)

29275 Northwestern Hwy
Suite 100
Southfield, MI 48034-5700
Phone (248) 351-6300

44555 Woodward Ave
Suite 305
Pontiac, MI 48341-5035
Phone (248) 858-3812

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301066041MIMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Olma Specialty Services LLC Neurological Surgery CurrentSince Oct 1, 2023 Accepting new patients
Iha Olma Specialty Services LLC Current Accepting new patients
University Neurosurgical Associates, PC Neurological Surgery CurrentSince Sep 1, 2005 Accepting new patients
University Neurosurgical Associates PC Specialist CurrentSince Sep 1, 2005 Accepting new patients

Locations

2319 Momentum Pl
Chicago, IL 60689

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 647-5871

6770 Dixie Hwy
Ste 202
Clarkston, MI 48346
Phone (248) 620-0377

44200 Woodward Ave
Ste 112
Pontiac, MI 48341
Phone (248) 384-8100

44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3023

44555 Woodward Ave
Ste 305
Pontiac, MI 48341
Phone (248) 858-3812

44555 Woodward Ave
Ste 506
Pontiac, MI 48341
Phone (248) 334-2568

1854 W Auburn Rd
Ste 100B
Rochester Hills, MI 48309
Phone (248) 218-9260

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

29275 Northwestern Hwy
Ste 100
Southfield, MI 48034
Phone (248) 351-6300

Interoperability endpoints

  • Direct secure messaging: tnida36286@direct.trinity-health.org
  • Direct secure messaging: tnida63286@direct.hfhs.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1114914835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DRIVE",
            "address_2": "SUITE J2000",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48105",
            "telephone_number": "734-747-6766",
            "fax_number": "248-784-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44555 WOODWARD AVE",
            "address_2": "SUITE 305",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "48341",
            "telephone_number": "248-858-3812",
            "fax_number": "248-858-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIDA",
        "first_name": "TODD",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "4301066041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

Verify at the official NPI Registry.