NPIMap

Organization Active NPI

The Porretta Center for Orthopaedic Surgery, PLLC

Doing business as The CORE Institute

  • Orthopaedic Surgery Physician
  • Novi, MI
National Provider Identifier
1306818331
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
THE PORRETTA CENTER FOR ORTHOPAEDIC SURGERY, PLLC
Doing business as
The CORE Institute
Practice address
26750 Providence Pkwy Ste 200
Novi, MI 48374-1212
Phone
(866) 974-2673
Fax
(866) 939-2673
NPI assigned
Feb 3, 2006
Last updated
Dec 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Authorized official

Name
David Markel III, MDNPI 1689644023
Title
Managing Partner
Phone
(866) 974-2673

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MI Primary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X MI
Orthopaedic Surgery of the Spine Physician 207XS0117X MI
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X MI
Orthopaedic Trauma Physician 207XX0801X MI
Podiatrist 213E00000X MI
Foot & Ankle Surgery Podiatrist 213ES0103X MI
Physical Therapist 225100000X
Durable Medical Equipment & Medical Supplies 332B00000X MI
Physician Assistant 363A00000X MI
Surgical Physician Assistant 363AS0400X MI
Pediatric Orthopaedic Surgery Physician 207XP3100X MI

Addresses

Primary practice location

26750 Providence Pkwy Ste 200
Novi, MI 48374-1212

Mailing address

18444 N 25TH Ave
Ste 310
Phoenix, AZ 85023-1261
Phone (866) 974-2673

Other practice location 1

22250 Providence Dr Ste 401
Southfield, MI 48075-6212
Phone (866) 974-2683

Other practice location 2

14800 Farmington Rd Ste 103
Livonia, MI 48154-5464
Phone (866) 974-2673

Other practice location 3

26750 Providence Pkwy Ste 240
Novi, MI 48374-1211
Phone (866) 974-2673

Other practice location 4

22250 Providence Dr Ste 405
Southfield, MI 48075-6212
Phone (866) 974-2673

Other practice location 5

8273 Grand River Rd Ste 210
Brighton, MI 48114-9346
Phone (866) 974-3673

Other practice location 6

8273 Grand River Rd Ste 210
Brighton, MI 48114-9346
Phone (866) 974-2673

Other names 1

  • The CORE Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070911000839 MI Part B Supplier - Clinic/Group Practice 2860585544 Receives reassigned benefits from 53 practitioners
Practice locations: Novi, MI; Southfield, MI; Plymouth, MI; Howell, MI; Livonia, MI; Dexter, MI; Grand Blanc, MI; Brighton, MI
O20100930030819 MI DME Supplier - Physician - Orthopedic/Orthopedic Surgery 2860585544 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Southfield, MI

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

26750 Providence Pkwy
#240
Novi, MI 48374
Phone (248) 349-7843

22250 Providence Dr
Ste 401
Southfield, MI 48075
Phone (248) 349-7015

Practitioners & affiliated clinicians

Practitioners 55

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1306818331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18444 N 25TH AVE",
            "address_2": "STE 310",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850231261",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26750 PROVIDENCE PKWY STE 200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741212",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22250 Providence Dr Ste 401",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480756212",
            "country_code": "US",
            "telephone_number": "866-974-2683",
            "fax_number": "866-939-2673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14800 Farmington Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481545464",
            "country_code": "US",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26750 Providence Pkwy Ste 240",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483741211",
            "country_code": "US",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22250 Providence Dr Ste 405",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480756212",
            "country_code": "US",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8273 Grand River Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481149346",
            "country_code": "US",
            "telephone_number": "866-974-3673",
            "fax_number": "866-939-2673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8273 Grand River Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481149346",
            "country_code": "US",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE PORRETTA CENTER FOR ORTHOPAEDIC SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-03",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "MARKEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "866-974-2673",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The CORE Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The CORE Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.