Organization Active NPI

Advanced Cardiovascular Health Specialists, P.C.

  • Cardiovascular Disease Physician
  • Livonia, MI
National Provider Identifier
1346382199
Registry record updated May 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ADVANCED CARDIOVASCULAR HEALTH SPECIALISTS, P.C.
Practice address
37799 Professional Center Dr
Suite 105
Livonia, MI 48154-1153
Phone
(734) 464-3251
Fax
(734) 464-3336
NPI assigned
Feb 12, 2007
Last updated
May 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2009

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

Authorized official

Name
Dr. Robert Stuart Grodman, D.O.NPI 1164495313
Title
President
Phone
(734) 464-3251

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

37799 Professional Center Dr
Suite 105
Livonia, MI 48154-1153

Mailing address

37799 Professional Center Dr
Suite 105
Livonia, MI 48154-1153
Phone (734) 464-3251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050907000218 MI Part B Supplier - Clinic/Group Practice 8527090992 Receives reassigned benefits from 4 practitioners
Practice locations: Livonia, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0896266Advanced Cardiovascular Health Specialists, P C37799 Professional Center Dr Ste 105, Livonia, MI 48154Certificate of waiverSep 26, 2026

National Provider Directory

National Provider Directory

Locations

37799 Professional Center Dr
Ste 105
Livonia, MI 48154
Phone (248) 878-3171

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242000000000",
    "number": "1346382199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37799 PROFESSIONAL CENTER DR",
            "address_2": "SUITE 105",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541153",
            "telephone_number": "734-464-3251",
            "fax_number": "734-464-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37799 PROFESSIONAL CENTER DR",
            "address_2": "SUITE 105",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541153",
            "telephone_number": "734-464-3251",
            "fax_number": "734-464-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARDIOVASCULAR HEALTH SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2009-05-11",
        "status": "A",
        "authorized_official_last_name": "GRODMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-464-3251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.