Individual provider Active NPI

Troy Alan Novak, PA

  • Physician Assistant
  • Alma, MI
National Provider Identifier
1487855177
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601003445 Issued in MI
Practice address
1910 Pine Ave
Alma, MI 48801-1298
Phone
(989) 463-3101
Fax
(989) 463-2824
NPI assigned
May 30, 2007
Last updated
Feb 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601003445 MI Primary

Addresses

Primary practice location

1910 Pine Ave
Alma, MI 48801-1298

Mailing address

1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 463-3101

Other practice location 1

2790 Health Pkwy
MT Pleasant, MI 48858-6934
Phone (989) 953-5320

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100813000921 MI Practitioner - Physician Assistant 3870627789 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Isabella Citizens for Health, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Isabella Citizens for Health Inc CurrentSince Apr 1, 2025 Accepting new patients
Covenant Medical Center, Inc. CurrentSince Mar 28, 2011 Accepting new patients
Isabella Citizens for Health Inc Current Accepting new patients
Isabella Citizens for Health Inc Past Accepting new patients
Isabella Citizens for Health Inc Past Accepting new patients
Isabella Citizens for Health, Inc. Past Accepting new patients
Isabella Citizens for Health Inc Past Accepting new patients
Isabella Citizens for Health Inc Past Accepting new patients
Isabella Citizens for Health Inc Past Accepting new patients
Isabella Citizens for Health Inc Past Accepting new patients
Isabella Citizens for Health Inc Past Accepting new patients
Isabella Citizens for Health Inc Past Accepting new patients
Isabella Citizens for Health, Inc. Past Accepting new patients

Locations

1910 Pine Ave
Alma, MI 48801
Phone (989) 463-3101

2790 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 779-5270

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: tnovak40870@mymichiganhealth.midirect.net
  • Direct secure messaging: troy.novak.p1@direct.isabellahealth.nextgenshare.com

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1487855177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 N HARRISON ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024727",
            "telephone_number": "989-463-3101",
            "fax_number": "989-463-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 PINE AVE",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011298",
            "telephone_number": "989-463-3101",
            "fax_number": "989-463-2824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2790 Health Pkwy",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "MI",
            "postal_code": "488586934",
            "country_code": "US",
            "telephone_number": "989-953-5320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "TROY",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alma, MI

Sources for this page

Verify at the official NPI Registry.