Individual provider Active NPI

Renato G Albaran, MD

  • Surgery Physician
  • Rochester Hills, MI
National Provider Identifier
1386625440
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301057928 Issued in MI
Practice address
75 Barclay Cir
Ste 200
Rochester Hills, MI 48307-4508
Phone
(248) 853-9177
Fax
(248) 853-7258
NPI assigned
Nov 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301057928 MI Primary

Addresses

Primary practice location

75 Barclay Cir
Ste 200
Rochester Hills, MI 48307-4508

Mailing address

75 Barclay Cir
Ste 200
Rochester Hills, MI 48307-4508
Phone (248) 853-9177

Other identifiers 1

IdentifierTypeStateIssuer
438696810MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RAlbaran@RGSPLC.directglo.com Direct

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
I20101004000126 MI Practitioner - General Surgery 8921107780 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Maryland School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester General Surgery PLCGroup PAC ID 8729114459, 7 clinicians

Practice addresses (Care Compare)

75 Barclay Cir
Suite 200
Rochester Hills, MI 48307-5821
Phone (248) 853-9177

Hospital & facility affiliations

  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)24
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Hospital Corporation CurrentSince Feb 22, 2014 Accepting new patients
Henry Ford Macomb Hospital Corporation Current Accepting new patients
Henry Ford Macomb Hospital Corporation Surgery CurrentSince Feb 22, 2014 Accepting new patients
Rochester General Surgery PLC Surgery CurrentSince Jan 1, 2001 Accepting new patients

Locations

5701 Bow Pointe Dr
Ste 265
Clarkston, MI 48346
Phone (248) 384-8030

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

75 Barclay Cir
Ste 200
Rochester Hills, MI 48307
Phone (248) 852-2040

245 Barclay Cir
Ste 400
Rochester Hills, MI 48307
Phone (248) 853-9177

1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805

Interoperability endpoints

  • Direct secure messaging: ralbaran44522@direct.trinity-health.org
  • Direct secure messaging: ralbaran@rgsplc.directglo.com
  • Direct secure messaging: ralbaran63245@direct.hfhs.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1386625440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BARCLAY CIR",
            "address_2": "STE 200",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074508",
            "telephone_number": "248-853-9177",
            "fax_number": "248-853-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BARCLAY CIR",
            "address_2": "STE 200",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074508",
            "telephone_number": "248-853-9177",
            "fax_number": "248-853-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBARAN",
        "first_name": "RENATO",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301057928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "438696810",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RAlbaran@RGSPLC.directglo.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "75 Barclay Cir",
            "address_2": "Ste 200",
            "city": "Rochester Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483074508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.