Active NPI
Caterina Maria Polina, PA
- Physician Assistant
- Royal Oak, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601012389
- Practice address
- 3601 W 13 Mile Rd
Royal Oak, MI 48073 - Phone
- (248) 898-1994
- NPI assigned
- Feb 16, 2021
- Last updated
- Sep 3, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 5601012389 | MI | |
| Physician Assistant | 363A00000X | 10003368A | IN | |
| Physician Assistant | 363A00000X | 5601012389 | MI | Primary |
Addresses
Primary practice location
3601 W 13 Mile Rd
Royal Oak, MI 48073
Mailing address
26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Other practice location 1
2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone (734) 246-6000
Other practice location 2
3565 Port Cove Dr Apt 71
Waterford, MI 48328-4578
Phone (586) 945-6937
Other practice location 3
11104 Parkview Circle Dr Ste 410
Fort Wayne, IN 46845-0025
Phone (260) 266-2020
Other names 1
- Caterina Elliott
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/ | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/ | ||
| Direct Messaging Address | celliott471284@Direct.Parkviewexchange.com | ||
| Direct Messaging Address | celliott1456483@epic00.shdirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2070 Biddle Ave
Suite 2
Wyandotte, MI 48192-4080
Phone (734) 284-7482
2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone (734) 246-6000
44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-1187
44201 Dequindre Rd Ec
Beaumont Emergency Services TR
Troy, MI 48085-1117
Phone (248) 964-5111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601012389 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Wyandotte Hospital | Current | Accepting new patients | |
| Henry Ford Wyandotte Hospital | Current | Accepting new patients | |
| Parkview Health System Inc | Current | Accepting new patients |
Locations
11104 Parkview Circle Dr
Ste 410
Fort Wayne, IN 46845
Phone (260) 266-5260
11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012
240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000
512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556
2070 Biddle Ave
Ste 2
Wyandotte, MI 48192
Phone (734) 284-7482
2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000
Interoperability endpoints
- celliott1456483@epic00.shdirect.org
- celliott471284@direct.parkviewexchange.com
- celliott655653@direct.hfhs.org
Organizations & group practices 4
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.
-
- Obstetrics & Gynecology Physician
- Wyandotte, MI
- NPI 1457586646
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1427567858
-
dba Parkview Physicians Group
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1932130952
-
dba Henry Ford Health Center-Brownstown Pharmacy
- Community/Retail Pharmacy
- Brownstown TWP, MI
- NPI 1356356984
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Henry Ford Health Center Brownstown
- Ambulatory Surgical Clinic/Center
- Wyandotte, MI
- NPI 1093901035
Hospital
-
- General Acute Care Hospital
- Wyandotte, MI
- NPI 1992725352
-
dba Beaumont Hospital, Troy
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1255924643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26901 BEAUMONT BLVD STE 3D",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480333849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 W 13 MILE RD",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "48073",
"telephone_number": "248-898-1994"
}
],
"practiceLocations": [
{
"address_1": "2333 Biddle Ave",
"address_purpose": "LOCATION",
"city": "Wyandotte",
"state": "MI",
"postal_code": "481924668",
"country_code": "US",
"telephone_number": "734-246-6000",
"fax_number": "313-876-1305",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3565 Port Cove Dr Apt 71",
"address_purpose": "LOCATION",
"city": "Waterford",
"state": "MI",
"postal_code": "483284578",
"country_code": "US",
"telephone_number": "586-945-6937",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11104 Parkview Circle Dr Ste 410",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468450025",
"country_code": "US",
"telephone_number": "260-266-2020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POLINA",
"first_name": "CATERINA",
"middle_name": "MARIA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-16",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MI",
"license": "5601012389",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10003368A",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601012389",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "11104 Parkview Circle Dr Ste 410",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468450025",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
"affiliation": "N",
"address_1": "11104 Parkview Circle Dr Ste 410",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468450025",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "celliott471284@Direct.Parkviewexchange.com",
"affiliation": "N",
"address_1": "11104 Parkview Circle Dr Ste 410",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468450025",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "celliott1456483@epic00.shdirect.org",
"affiliation": "N",
"address_1": "3601 W 13 Mile Rd",
"city": "Royal Oak",
"state": "MI",
"country_code": "US",
"postal_code": "48073",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CATERINA",
"last_name": "ELLIOTT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.