Organization Active NPI

Michigan Rheumatology and Wellness Center

  • Rheumatology Physician
  • Rochester Hills, MI
National Provider Identifier
1467158915
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
MICHIGAN RHEUMATOLOGY AND WELLNESS CENTER
Practice address
3950 S Rochester Rd
Ste 1300
Rochester Hills, MI 48307-5169
Phone
(248) 923-1300
Fax
(248) 218-1071
NPI assigned
Feb 6, 2023
Last updated
Aug 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Authorized official

Name
Mrs. Cecilia Perez
Title
Manager
Phone
(248) 923-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X NU Primary

Addresses

Primary practice location

3950 S Rochester Rd
Ste 1300
Rochester Hills, MI 48307-5169

Mailing address

3950 S Rochester Rd Ste 1300
Rochester Hills, MI 48307-5169
Phone (248) 923-1300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230511003428 MI Part B Supplier - Clinic/Group Practice 0648636993 Receives reassigned benefits from 2 practitioners
Practice locations: Rochester Hills, MI

National Provider Directory

National Provider Directory

Locations

3950 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 844-6000

3950 S Rochester Rd
Ste 1
Rochester Hills, MI 48307
Phone (248) 923-1300

3950 S Rochester Rd
Ste 113
Rochester Hills, MI 48307

Practitioners & affiliated clinicians

Practitioners 2

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": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1467158915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 S ROCHESTER RD STE 1300",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075169",
            "telephone_number": "248-923-1300",
            "fax_number": "248-218-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 S ROCHESTER RD",
            "address_2": "STE 1300",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075169",
            "telephone_number": "248-923-1300",
            "fax_number": "248-218-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN RHEUMATOLOGY AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-923-1300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "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 Aug 1, 2023; 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.