Active NPI
Mariquit Dumaguin Sendelbach, D.O.
- Gastroenterology Physician
- Farmington Hills, MI
National Provider Identifier
1457563488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 5101015783
- Practice address
- 23133 Orchard Lake Rd Ste 200
Farmington Hills, MI 48336-3268 - Phone
- (248) 471-8982
- Fax
- (248) 471-9978
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 5101015783 | MI | Primary |
Addresses
Primary practice location
23133 Orchard Lake Rd Ste 200
Farmington Hills, MI 48336-3268
Mailing address
23133 Orchard Lake Rd
Ste 200
Farmington Hills, MI 48336-3268
Phone (248) 579-9220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457563488 | Medicaid | MI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Michigan State University College of Osteopathic Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Wiliam Carls Dr
Commerce Township, MI 48382-2201
Phone (248) 579-9220
23133 Orchard Lake Rd
Suite 200
Farmington Hills, MI 48336-3279
Phone (248) 579-9220
28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (248) 471-8000
Hospital & facility affiliations
- Beaumont Hospital - Farmington Hills
- Huron Valley-Sinai Hospital
- Beaumont Hospital Royal Oak
- Beaumont Hospital - Dearborn
- Corewell Health Wayne Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.19 of 100
- Quality
- 94.97
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 86.53
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 140 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 150 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101015783 | MI | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Oakland Gastroenterology Associates PC | Gastroenterology | Current | Accepting new patients |
Locations
1 William Carls Dr
#2
Commerce Township, MI 48382
1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500
28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000
Interoperability endpoints
- msendelb@direct.dmc.org
- mariquitsendelbach@soga.ssdirect.aprima.com
Organizations & group practices 1
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.
-
- Gastroenterology Physician
- Farmington, MI
- NPI 1316919616
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
-
- General Acute Care Hospital
- Wayne, MI
- NPI 1295785285
-
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
-
- General Acute Care Hospital
- Commerce Township, MI
- NPI 1922310200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538352000000",
"number": "1457563488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23133 ORCHARD LAKE RD",
"address_2": "STE 200",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483363268",
"telephone_number": "248-579-9220",
"fax_number": "248-426-7350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23133 ORCHARD LAKE RD STE 200",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483363268",
"telephone_number": "248-471-8982",
"fax_number": "248-471-9978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENDELBACH",
"first_name": "MARIQUIT",
"middle_name": "DUMAGUIN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2018-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MI",
"license": "5101015783",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1457563488",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.