Rolando M. Estupigan D.O. P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

5101010979 Issued in MI

Legal business name

ROLANDO M. ESTUPIGAN D.O. P.C.

Practice address

2265 Livernois Rd Ste 402
Troy, MI 48083-1606

Phone

(248) 649-2430

Fax

(248) 649-4303

NPI assigned

Sep 28, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Rolando M. Estupigan, D.ONPI 1841208592

Title

President

Phone

(248) 649-2430

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7994/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Rolando M Estupigan, D.O., P.C.

  • Internal Medicine Physician
  • Troy, MI
  • NPI 1841208592
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594339200000",
    "number": "1285985309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 LIVERNOIS",
            "address_2": "STE 402",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831606",
            "telephone_number": "248-649-2430",
            "fax_number": "248-649-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 LIVERNOIS RD STE 402",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831606",
            "telephone_number": "248-649-2430",
            "fax_number": "248-649-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLANDO M. ESTUPIGAN D.O. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-28",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A",
        "authorized_official_last_name": "ESTUPIGAN",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-649-2430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "5101010979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3370408",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael G Rofe, D.D.S
• Britney Rogers
• Deanna Marie Rogers
• Priscilla Rojas-Tice
• Bernardo A Rojas Jr., M.D.
• Rom Rehabilitation LLC
• Elena Mary Roma
• Elise Roman, LPC
• Kimberly Antushevich Roman
• Elizabeth Romano, PSYD

• Primary Care Clinic/Center in Troy, MI
• Providers in Troy, MI by specialty
• Primary Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.