NPIMap

Organization Active NPI

Rochester Gastroenterology PLLC

  • Gastroenterology Physician
  • Rochester Hills, MI
National Provider Identifier
1356935449
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
ROCHESTER GASTROENTEROLOGY PLLC
Practice address
1349 S Rochester Rd Ste 210
Rochester Hills, MI 48307-3152
Phone
(248) 844-2600
Fax
(248) 976-9059
NPI assigned
Mar 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Authorized official

Name
Dr. Samir Al-Hadidi, MDNPI 1407960453
Title
Owner
Phone
(248) 844-2600

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
Gastroenterology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

1349 S Rochester Rd Ste 210
Rochester Hills, MI 48307-3152

Mailing address

PO Box 71066
Rochester Hills, MI 48307-0020
Phone (248) 844-2600

National Provider Directory

National Provider Directory

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1356935449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71066",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483070020",
            "telephone_number": "248-844-2600",
            "fax_number": "248-976-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 S ROCHESTER RD STE 210",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073152",
            "telephone_number": "248-844-2600",
            "fax_number": "248-976-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHESTER GASTROENTEROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "AL-HADIDI",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-844-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.