Organization Active NPI

Genesys Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Livonia, MI
National Provider Identifier
1457709289
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
GENESYS SURGERY CENTER LLC
Practice address
36622 Five Mile Rd Ste 201
Livonia, MI 48154-1900
Phone
(734) 351-5272
NPI assigned
Jun 2, 2016
Last updated
Sep 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Kathryn Mary Pring
Title
Vice-President of Operations
Phone
(586) 439-6314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

36622 Five Mile Rd Ste 201
Livonia, MI 48154-1900

Mailing address

500 Stephenson Hwy Ste 300
Troy, MI 48083-1118
Phone (586) 439-6258

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160815002510 MI Part B Supplier - Ambulatory Surgical Center 3375837297 Receives reassigned benefits from 1 practitioner
Practice locations: Livonia, MI

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Genesys Surgery CenterCCN 23C0001132
Medicare certification status
ActiveFrom the Provider of Services file

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
23D2119199Genesys Surgery Center LLC36622 Five Mile Road Suite 201, Livonia, MI 48154Certificate of waiverSep 20, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1457709289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 STEPHENSON HWY STE 300",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831118",
            "telephone_number": "586-439-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36622 FIVE MILE RD STE 201",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541900",
            "telephone_number": "734-351-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESYS SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "PRING",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "VICE-PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "586-439-6314"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.