Individual provider Active NPI

Rica Cezario Stamatin, MD

  • Internal Medicine Physician
  • Rochester Hills, MI
National Provider Identifier
1316937071
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
RS076603 Issued in MI
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
201071830OtherPPOM
1106336822OtherBCBS
4647509MedicaidMI
I18974OtherHAP

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
I20041021000214 MI Practitioner - Internal Medicine 2163483405 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RS076603MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Northern Michigan Past Accepting new patients
Henry Ford Health Rochester Hospital Past Accepting new patients
Schoenherr Medical Assoicates PC Internal Medicine PastSince Jul 4, 2021 Accepting new patients
SJMH Medical Practice-SMHC Internal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.