Rochester Endoscopy & Surgery Center, L.L.C.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

636917 Issued in MI

Legal business name

ROCHESTER ENDOSCOPY & SURGERY CENTER, L.L.C.

Practice address

1349 S Rochester Rd Ste 150
Rochester Hills, MI 48307-3152

Phone

(248) 844-3800

Fax

(248) 844-0993

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Justine B Corday

Title

Board Executive

Phone

(312) 794-7730

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Listed as

Rochester Endoscopy Surgery Center LLCCCN 23C0001135

Medicare certification status

ActiveFrom the Provider of Services file

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Orthopaedic Surgical Institute

  • Ambulatory Surgical Clinic/Center
  • Rochester Hills, MI
  • NPI 1336402247
  NPPES parent name

Practitioners 2

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

• Samir S Al-Hadidi, MD

  • Gastroenterology Physician
  • Rochester Hills, MI
  • NPI 1407960453
  NPD (past)
• Michael Kam, MD

  • Gastroenterology Physician
  • Rochester Hills, MI
  • NPI 1316040504
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1376574814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 S ROCHESTER RD STE 150",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073152",
            "telephone_number": "248-844-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 S ROCHESTER RD STE 150",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073152",
            "telephone_number": "248-844-3800",
            "fax_number": "248-844-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHESTER ENDOSCOPY & SURGERY CENTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "CORDAY",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "BOARD EXECUTIVE",
        "authorized_official_telephone_number": "312-794-7730"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MI",
            "license": "636917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rochester Dentist in the Hills PLLC
• Rochester Dermatology Clinic, P.C.
• Rochester Dialysis Center LLC
• Rochester Digestive Disease Group PC
• Rochester Endodontics, PLLC
• Rochester Eye Care PLLC
• Rochester Family Care PLC
• Rochester Family Chiropractic, Inc
• Rochester Family Medical Center PC
• Rochester Family Medicine PC

• Ambulatory Surgical Clinic/Center in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Ambulatory Surgical Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.