Bloomfield Hills Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BLOOMFIELD HILLS SURGERY CENTER

Doing business as

Bloomfield Hills Surgical Center

Practice address

359 Enterprise CT
Bloomfield Hills, MI 48302-0305

Phone

(248) 220-7505

Fax

(248) 985-3355

NPI assigned

Mar 23, 2021

Last updated

Dec 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Biljana Trujillo

Title

President and Ceo

Phone

(248) 220-7505

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bloomfield Hills Surgical Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Listed as

Bloomfield Hills Surgery Center Dba Bloomfield Hills Surgical CenterCCN 23C0001152

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Bloomfield Hills Surgery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bloomfield Hills Surgery Center

  • Anesthesiology Physician
  • Bloomfield Hills, MI
  • NPI 1528956372
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Neuro Pain Consultants PC

  dba Neuro Surgical Consultants Pain Care Associates Center for Integrate

  • Pain Medicine (Anesthesiology) Physician
  • Bloomfield Hills, MI
  • NPI 1417936584

  Member Of

  NPD member

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.

• Bloomfield Hills Surgery Center

  • Anesthesiology Physician
  • Bloomfield Hills, MI
  • NPI 1528956372
  NPPES parent name

Practitioners 1

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.

• Timothy Joseph Matway, M.D.

  • Interventional Pain Medicine Physician
  • Bloomfield Hills, MI
  • NPI 1306133434
  NPD (past)

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1386220895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 ENTERPRISE CT STE C",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020305",
            "telephone_number": "248-220-7505",
            "fax_number": "248-985-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 ENTERPRISE CT",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020305",
            "telephone_number": "248-220-7505",
            "fax_number": "248-985-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMFIELD HILLS SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-23",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "TRUJILLO",
        "authorized_official_first_name": "BILJANA",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "248-220-7505"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CON APPLICATION NO. 20-0034",
            "identifier": "63-6035",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vfornalewicz@bloomfieldhillssurgicalcenter.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "359 Enterprise Ct",
            "city": "Bloomfield Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483020305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bloomfield Hills Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bloomfield Hills Dental Group PLLC
• Bloomfield Hills Massage LLC
• Bloomfield Hills Pediatrics
• Bloomfield Hills Rehab, LLC
• Bloomfield Hills SNF LLC (Illuminate HC Bloomfield Hills)
• Bloomfield Hills Surgery Center
• Bloomfield House, Inc
• Bloomfield Internal Medicine Assoc PC
• Bloomfield Neurology Clinic, P.C.
• Bloomfield Neurology Clinic, P.C.

• Ambulatory Surgical Clinic/Center in Bloomfield Hills, MI
• Providers in Bloomfield 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 Dec 14, 2023; 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.