NPIMap

Individual provider Active NPI

Adam Rourke, DO

  • Facial Plastic Surgery Physician
  • Sterling Heights, MI
National Provider Identifier
1225284763
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
5101017814 Issued in MI
Practice address
11080 Hall Rd
Suite a
Sterling Heights, MI 48314-1511
Phone
(586) 254-7200
Fax
(586) 254-7201
NPI assigned
Aug 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X 5101017814 MI Primary

Addresses

Primary practice location

11080 Hall Rd
Suite a
Sterling Heights, MI 48314-1511

Mailing address

11080 Hall Rd
Suite a
Sterling Heights, MI 48314-1511
Phone (586) 254-7200

Other identifiers 1

IdentifierTypeStateIssuer
700F399670OtherMIBCBSM GROUP PIN

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
I20140930002970 MI Practitioner - Otolaryngology 1951540004 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Michigan State University College of Osteopathic Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

17900 23 Mile Rd
Macomb, MI 48044-1161
Phone (586) 286-6565

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.13 of 100Reported as individual
Quality
63.52
Promoting interoperability
84
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital Facial Plastic Surgery CurrentSince Oct 1, 2014 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Oct 1, 2014 Accepting new patients
Lakeshore Ear Nose and Throat Center PC Current Accepting new patients
Lakeshore Ear Nose and Throat Center PC CurrentSince Nov 26, 2018 Accepting new patients

Locations

2251 N Squirrel Rd
Ste 200
Auburn Hills, MI 48326
Phone (248) 340-9465

17770 Mack Ave
Grosse Pointe Shores, MI 48230
Phone (313) 882-1731

17900 23 Mile Rd
Ste 205
Macomb, MI 48044
Phone (313) 885-6367

17900 23 Mile Rd
Ste 203
Macomb, MI 48044
Phone (586) 263-7400

1202 Walton Blvd
Ste 201
Rochester Hills, MI 48307
Phone (248) 652-0044

11080 Hall Rd
Ste A
Sterling Hts, MI 48314
Phone (586) 254-0033

Interoperability endpoints

  • Direct secure messaging: arourke1149664@direct.hfhs.org
  • Direct secure messaging: adam.rourke.1@17789.direct.athenahealth.com
  • Direct secure messaging: arourke444070@direct.hfhs.org

Organizations & group practices 5

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 7

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": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1225284763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11080 HALL RD",
            "address_2": "SUITE A",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141511",
            "telephone_number": "586-254-7200",
            "fax_number": "586-254-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11080 HALL RD",
            "address_2": "SUITE A",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141511",
            "telephone_number": "586-254-7200",
            "fax_number": "586-254-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROURKE",
        "first_name": "ADAM",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-15",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "MI",
            "license": "5101017814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM GROUP PIN",
            "identifier": "700F399670",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.