Organization Active NPI

Lucia Zamorano MD PLC

Doing business as Michigan Brain and Spine Surgery Center

  • Neurological Surgery Physician
  • Troy, MI
National Provider Identifier
1407811243
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
LUCIA ZAMORANO MD PLC
Doing business as
Michigan Brain and Spine Surgery Center
Practice address
5107 Rochester Rd
Troy, MI 48085-3426
Phone
(248) 723-2477
Fax
(248) 681-3209
NPI assigned
Apr 17, 2006
Last updated
Jun 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Authorized official

Name
Dr. Lucia J Zamorano, MDNPI 1770549107
Title
Managing Agent/Owner
Phone
(248) 723-2477

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
Neurological Surgery Physician 207T00000X Primary

Addresses

Primary practice location

5107 Rochester Rd
Troy, MI 48085-3426

Mailing address

2004 Hazel St
Birmingham, MI 48009-6807
Phone (248) 723-2477

Other practice location 1

2004 Hazel St
Birmingham, MI 48009-6807
Phone (248) 723-2477

Other identifiers 1

IdentifierTypeStateIssuer
104779750MedicaidMI

Other names 1

  • Michigan Brain and Spine Surgery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050912000492 MI Part B Supplier - Clinic/Group Practice 3779516711 Receives reassigned benefits from 3 practitioners
Practice locations: West Bloomfield, MI; Warren, MI; Troy, MI; Detroit, MI; Royal Oak, MI; Dearborn, MI; Birmingham, MI
O20111010000282 MI DME Supplier - Physician - NeurosurgeryDME Supplier - Physician - General Practice 3779516711 Practice locations: Birmingham, 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
23D2074530Michigan Brain and Spine Surgery Center5107 Rochester Road, Troy, MI 48085Certificate of waiverMar 10, 2028

National Provider Directory

National Provider Directory

Locations

4160 John R St
Ste 730
Detroit, MI 48201
Phone (313) 831-7000

5131 Rochester Rd
Troy, MI 48085
Phone (248) 723-2477

2300 Haggerty Rd
West Bloomfield, MI 48323
Phone (248) 863-9254

Practitioners & affiliated clinicians

Practitioners 3

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": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1407811243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 HAZEL ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096807",
            "telephone_number": "248-723-2477",
            "fax_number": "248-681-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5107 ROCHESTER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853426",
            "telephone_number": "248-723-2477",
            "fax_number": "248-681-3209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2004 Hazel St",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "MI",
            "postal_code": "480096807",
            "country_code": "US",
            "telephone_number": "248-723-2477",
            "fax_number": "248-681-3209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LUCIA ZAMORANO MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "ZAMORANO",
        "authorized_official_first_name": "LUCIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING AGENT/OWNER",
        "authorized_official_telephone_number": "248-723-2477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104779750",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michigan Brain and Spine Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Michigan Brain and Spine Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.