Organization Active NPI

Your Physicians P.C.

  • Internal Medicine Physician
  • Rochester Hills, MI
National Provider Identifier
1447438759
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301074932 Issued in MI
Legal business name
YOUR PHYSICIANS P.C.
Practice address
1135 W University Dr
Suite 220
Rochester Hills, MI 48307-1871
Phone
(248) 651-1155
Fax
(248) 651-8537
NPI assigned
Feb 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Authorized official

Name
Katie Short
Title
Office Manager
Phone
(248) 651-1155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301074932 MI Primary

Addresses

Primary practice location

1135 W University Dr
Suite 220
Rochester Hills, MI 48307-1871

Mailing address

1135 W University Dr
Suite 220
Rochester Hills, MI 48307-1871
Phone (248) 651-1155

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080329000052 MI Part B Supplier - Clinic/Group Practice 5294811360 Receives reassigned benefits from 2 practitioners
Practice locations: Pontiac, MI; Troy, MI; Rochester Hills, MI; Rochester, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1447438759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 W UNIVERSITY DR",
            "address_2": "SUITE 220",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483071871",
            "telephone_number": "248-651-1155",
            "fax_number": "248-651-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 W UNIVERSITY DR",
            "address_2": "SUITE 220",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483071871",
            "telephone_number": "248-651-1155",
            "fax_number": "248-651-8537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR PHYSICIANS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-651-1155"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301074932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.