Individual provider Active NPI

Senja Tomovic, MD

  • Otolaryngology Physician
  • Ypsilanti, MI
National Provider Identifier
1255568846
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
4301507386 Issued in MI
Practice address
5333 McAuley Dr RM 2017
Ypsilanti, MI 48197-1096
Phone
(734) 434-3200
Fax
(734) 879-0550
NPI assigned
Jun 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MA09537800 NJ
Otolaryngology Physician 207Y00000X 4301507386 MI Primary

Addresses

Primary practice location

5333 McAuley Dr RM 2017
Ypsilanti, MI 48197-1096

Mailing address

5333 McAuley Dr RM 2017
Ypsilanti, MI 48197-1096
Phone (734) 434-3200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220607000650 MI Practitioner - Otolaryngology 3678792918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Wayne State University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michigan Otolaryngology SurgeryGroup PAC ID 1759442627, 20 clinicians

Practice addresses (Care Compare)

5333 McAuley Dr
RM 2017
Ypsilanti, MI 48197-1096
Phone (734) 434-3200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09537800NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Otolaryngology Surgery Otolaryngology CurrentSince Jul 1, 2022 Accepting new patients
Michigan Otolaryngolgy Surgery CurrentSince Jul 1, 2022 Accepting new patients
St Joseph Mercy Hospital Past Accepting new patients

Locations

2305 Genoa Business Park Dr
Ste 160
Brighton, MI 48114
Phone (800) 851-6672

1600 S Canton Center Rd
Ste 340
Canton, MI 48188
Phone (734) 398-8630

14650 E Old US Highway 12
Ste 304
Chelsea, MI 48118
Phone (734) 385-5100

14555 Levan Rd
Ste 314
Livonia, MI 48154
Phone (248) 348-1700

5220 Highland Rd
Ste 203
Waterford, MI 48327

5333 McAuley Dr
Rm 2017
Ypsilanti, MI 48197
Phone (734) 434-3200

Interoperability endpoints

  • Direct secure messaging: senja.tomovic.1@15595.direct.athenahealth.com

Organizations & group practices 3

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 2

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": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1255568846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 MCAULEY DR RM 2017",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971096",
            "telephone_number": "734-434-3200",
            "fax_number": "734-879-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 MCAULEY DR RM 2017",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971096",
            "telephone_number": "734-434-3200",
            "fax_number": "734-879-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMOVIC",
        "first_name": "SENJA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-22",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA09537800",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301507386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.