NPIMap

Individual provider Active NPI

Suzanne Romadan, M.D.

  • Internal Medicine Physician
  • Rochester Hills, MI
National Provider Identifier
1124012760
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
SA079574 Issued in MI
Practice address
1349 S Rochester Rd Ste 130
Rochester Hills, MI 48307-3152
Phone
(248) 446-7711
Fax
(248) 429-1569
NPI assigned
Sep 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X SA079574 MI Primary

Addresses

Primary practice location

1349 S Rochester Rd Ste 130
Rochester Hills, MI 48307-3152

Mailing address

1349 S Rochester Rd Ste 130
Rochester Hills, MI 48307-3152
Phone (248) 446-7711

Other identifiers 1

IdentifierTypeStateIssuer
4741064MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050920000410 MI Practitioner - Internal Medicine 4880628882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Suzanne Romadan MD PCGroup PAC ID 2365613411, 2 clinicians

Practice addresses (Care Compare)

1101 W University Dr
Ascension Providence Rochester Hospital
Rochester, MI 48307-1863
Phone (248) 652-5000

1349 S Rochester Rd
Suite 100
Rochester Hills, MI 48307-3151
Phone (248) 759-5460

44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-5000

Hospital & facility affiliations

  • The Medical Team Home health agency, Livonia, MI, CCN 237125
  • Beaumont Home Health Home health agency, Troy, MI, CCN 237112
  • The Medical Team Inc Hospice, Livonia, MI, CCN 231645
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254
  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151
  • Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SA079574MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suzanne Romadan,M.D.,P.C. CurrentSince Jul 18, 2011 Accepting new patients
William Beaumont Hospital Past Accepting new patients

Locations

1349 S Rochester Rd
Ste 100
Rochester Hills, MI 48307
Phone (248) 759-5460

1349 S Rochester Rd
Ste 130
Rochester Hills, MI 48307
Phone (248) 446-7711

1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805

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 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1124012760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 S ROCHESTER RD STE 130",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073152",
            "telephone_number": "248-446-7711",
            "fax_number": "248-429-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 S ROCHESTER RD STE 130",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073152",
            "telephone_number": "248-446-7711",
            "fax_number": "248-429-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMADAN",
        "first_name": "SUZANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-09",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "SA079574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4741064",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.