Active NPI
Rica Cezario Stamatin, MD
- Internal Medicine Physician
- Rochester Hills, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- RS076603
- Practice address
- 2710 S Rochester Rd
Suite 4
Rochester Hills, MI 48307-4598 - Phone
- (248) 651-2620
- Fax
- (248) 651-9450
- NPI assigned
- Oct 25, 2005
- Last updated
- Jan 9, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | RS076603 | MI | Primary |
Addresses
Primary practice location
2710 S Rochester Rd
Suite 4
Rochester Hills, MI 48307-4598
Mailing address
2710 S Rochester Rd
Suite 4
Rochester Hills, MI 48307-4598
Phone (248) 651-2620
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201071830 | Other | PPOM | |
| 1106336822 | Other | BCBS | |
| 4647509 | Medicaid | MI | |
| I18974 | Other | HAP |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2710 S Rochester Rd
4 Stamatin Internal Medicine
Rochester Hills, MI 48307-4598
Phone (248) 651-2620
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RS076603 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Northern Michigan | Past | Accepting new patients | |
| Henry Ford Health Rochester Hospital | Past | Accepting new patients | |
| Schoenherr Medical Assoicates PC | Internal Medicine | Past | Accepting new patients |
| SJMH Medical Practice-SMHC | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- rstamatin1152245@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Rochester Hills, MI
- NPI 1356426506
-
- General Acute Care Hospital
- Rochester, MI
- NPI 1437176203
-
- Family Medicine Physician
- Petoskey, MI
- NPI 1760736094
-
- Internal Medicine Physician
- Warren, MI
- NPI 1861426280
-
- Internal Medicine Physician
- Pontiac, MI
- NPI 1346284684
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rochester, MI
- NPI 1437176203
-
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": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326067200000",
"number": "1316937071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2710 S ROCHESTER RD",
"address_2": "SUITE 4",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483074598",
"telephone_number": "248-651-2620",
"fax_number": "248-651-9450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 S ROCHESTER RD",
"address_2": "SUITE 4",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483074598",
"telephone_number": "248-651-2620",
"fax_number": "248-651-9450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAMATIN",
"first_name": "RICA",
"middle_name": "CEZARIO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-25",
"last_updated": "2012-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "RS076603",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPOM",
"identifier": "201071830",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1106336822",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4647509",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAP",
"identifier": "I18974",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.