Organization Active NPI

Novi Medicine, P.C.

  • Adult Medicine Physician
  • Novi, MI
National Provider Identifier
1437805074
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
NOVI MEDICINE, P.C.
Practice address
39475 Lewis Dr Ste 150
Novi, MI 48377-2980
Phone
(248) 301-3900
Fax
(248) 800-3310
NPI assigned
Feb 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Authorized official

Name
Lowell Paul, MDNPI 1689655508
Title
President
Phone
(248) 301-3900

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
Adult Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

39475 Lewis Dr Ste 150
Novi, MI 48377-2980

Mailing address

39475 Lewis Dr Ste 150
Novi, MI 48377-2980
Phone (248) 301-3900

Other names 1

  • Novi Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220310002777 MI Part B Supplier - Clinic/Group Practice 0042605941 Receives reassigned benefits from 1 practitioner
Practice locations: Novi, 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
23D2254305Novi Medicine P C39475 Lewis Drive Suite 150, Novi, MI 48377Certificate of waiverMar 1, 2028

National Provider Directory

National Provider Directory

Locations

39475 Lewis Dr
Ste 150
Novi, MI 48377
Phone (248) 301-3900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25814/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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": "1645488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646611200000",
    "number": "1437805074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39475 LEWIS DR STE 150",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772980",
            "telephone_number": "248-301-3900",
            "fax_number": "248-800-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39475 LEWIS DR STE 150",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772980",
            "telephone_number": "248-301-3900",
            "fax_number": "248-800-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVI MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "LOWELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-301-3900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novi Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.