Michigan Retina Center, PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

MICHIGAN RETINA CENTER, PC

Practice address

25230 Michigan Ave
Dearborn, MI 48124-1715

Phone

(313) 441-2227

Fax

(313) 441-2241

NPI assigned

Feb 6, 2017

Last updated

Jul 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Asheesh Tewari, M.D.NPI 1043248032

Title

Physician

Phone

(313) 441-2227

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: atewari@retinaexpert.intellechartdirect.net

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Asheesh Tewari, MD

  • Retina Specialist (Ophthalmology) Physician
  • Dearborn, MI
  • NPI 1043248032
  Medicare reassignment Care Compare group Authorized official
• Michael Chaouki Gemayel

  • Ophthalmology Physician
  • Dearborn, MI
  • NPI 1194258624
  Medicare reassignment Care Compare group NPD
• Daman Toor Gupta, O.D.

  • Optometrist
  • Dearborn, MI
  • NPI 1962718288
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1164960571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25230 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241715",
            "telephone_number": "313-441-2227",
            "fax_number": "313-441-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25230 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241715",
            "telephone_number": "313-441-2227",
            "fax_number": "313-441-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN RETINA CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "TEWARI",
        "authorized_official_first_name": "ASHEESH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "313-441-2227",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michigan Perinatal Associates PC
• Michigan Physical Therapy Group, LLC
• Michigan Primary Care Physicians PC
• Michigan Psychological Services
• Michigan Pulmonary & Sleep Specialist PLLC
• Michigan Sleep Center PLLC
• Michigan Sleep Lab
• Michigan Specialty Clinic PLLC (Advanced Urgent Care Clinic)
• Michigan Specialty Clinic PLLC
• Michigan Specialty Clinic PLLC

• Ophthalmology Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.