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Individual provider Active NPI

Nicoara Oprescu

  • Internal Medicine Physician
  • Kalamazoo, MI
National Provider Identifier
1225146533
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301056510 Issued in MI
Practice address
1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone
(269) 226-7000
NPI assigned
Aug 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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
Internal Medicine Physician 207R00000X 4301056510 MI Primary

Addresses

Primary practice location

1521 Gull Rd
Kalamazoo, MI 49048-1640

Mailing address

5943 Stadium Dr
Suite 3
Kalamazoo, MI 49009-3016

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
I20050930000143 MI Practitioner - Internal MedicinePractitioner - Geriatric Medicine 3971538711 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Medical Group PromedGroup PAC ID 7315856077, 255 clinicians
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

Practice addresses (Care Compare)

2929 Nazareth Rd
Kalamazoo, MI 49048-2611
Phone (269) 381-6290

3951 W Milham Ave
Portage, MI 49024-1088
Phone (269) 447-1689

7901 Angling Rd
Portage, MI 49024-0714

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Promed Healthcare CurrentSince Jan 1, 1999 Accepting new patients
Beacon Medical Group Michigan Inc Internal Medicine CurrentSince Jan 1, 1999 Accepting new patients
Beacon Kalamazoo Inc CurrentSince Aug 12, 2009 Accepting new patients
Beacon Kalamazoo Inc Current Accepting new patients
Beacon Kalamazoo Inc Internal Medicine CurrentSince Aug 12, 2009 Accepting new patients
Harold and Grace Upjohn Community Care Center Past Accepting new patients
Mobility Rehab PLLC Past Accepting new patients
Portage Opco, LLC Past Accepting new patients
Villa at Borgess Place LLC Past Accepting new patients
Kalamazoo Opco, LLC Past Accepting new patients
Borgess Nursing Home Inc Past Accepting new patients

Locations

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

1701 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-2550

3025 Gull Rd
Kalamazoo, MI 49048
Phone (269) 343-1264

5943 Stadium Dr
Ste 3
Kalamazoo, MI 49009
Phone (269) 226-8315

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Friendship VillageKalamazoo, MI, CCN 235248 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 27, 2012
Apr 11, 2025
Villa at Borgess PlaceKalamazoo, MI, CCN 235289 Skilled nursing facility W-2 Managing Employee
Adp of the SNF		 Sep 3, 2024
Dec 12, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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 9

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": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225146533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5943 STADIUM DR",
            "address_2": "SUITE 3",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490093016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 GULL RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481640",
            "telephone_number": "269-226-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPRESCU",
        "first_name": "NICOARA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301056510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.