NPIMap

Organization Active NPI

Vision Institute of Michigan Surgery Center PC

  • Ambulatory Surgical Clinic/Center
  • Sterling Heights, MI
National Provider Identifier
1215919113
Registry record updated Mar 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
506819 Issued in MI
Legal business name
VISION INSTITUTE OF MICHIGAN SURGERY CENTER PC
Practice address
44650 Delco Blvd
Sterling Heights, MI 48313-1024
Phone
(586) 254-3391
Fax
(586) 254-3344
NPI assigned
Nov 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2009

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

Authorized official

Name
Mr. Steven B Rich
Title
Ceo
Phone
(586) 254-1770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 506819 MI Primary

Addresses

Primary practice location

44650 Delco Blvd
Sterling Heights, MI 48313-1024

Mailing address

44650 Delco Blvd
Suite 200
Sterling Heights, MI 48313-1063
Phone (586) 254-3391

Other identifiers 1

IdentifierTypeStateIssuer
40360OtherMIBCBSM

Other names 1

  • SURGERY CENTER OF MICHIGAN Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100106000797 MI Part B Supplier - Ambulatory Surgical Center 1153462502 Receives reassigned benefits from 8 practitioners
Practice locations: Sterling Heights, MI

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Surgery Center of MichiganCCN 23C0001021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

44650 Delco Blvd
Ste 200
Sterling Hts, MI 48313
Phone (586) 254-3391

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1215919113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44650 DELCO BLVD",
            "address_2": "SUITE 200",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131063",
            "telephone_number": "586-254-3391",
            "fax_number": "586-254-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44650 DELCO BLVD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131024",
            "telephone_number": "586-254-3391",
            "fax_number": "586-254-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION INSTITUTE OF MICHIGAN SURGERY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2009-03-02",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "586-254-1770",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MI",
            "license": "506819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "40360",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SURGERY CENTER OF MICHIGAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.