NPIMap

Organization Active NPI

University Neurosurgical Associates, PC

Doing business as Michigan Head and Spine Institute

  • Neurological Surgery Physician
  • Trenton, MI
National Provider Identifier
1497379671
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
UNIVERSITY NEUROSURGICAL ASSOCIATES, PC
Doing business as
Michigan Head and Spine Institute
Practice address
5400 Fort St Ste 200
Trenton, MI 48183-4636
Phone
(877) 784-3667
NPI assigned
Jun 3, 2020
Last updated
Mar 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Authorized official

Name
Robert R Johnson, MDNPI 1861489452
Title
President
Phone
(248) 784-3667

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

5400 Fort St Ste 200
Trenton, MI 48183-4636

Mailing address

25500 Meadowbrook Rd Ste 150
Novi, MI 48375-1880
Phone (248) 784-3667

Other names 1

  • Michigan Head and Spine Institute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050127000624 MI Part B Supplier - Clinic/Group Practice 9739139759 Receives reassigned benefits from 74 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Southfield, MI; Ypsilanti, MI; Waterford, MI; Walled Lake, MI; Troy, MI; Trenton, MI; Royal Oak, MI; Pontiac, MI…

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
University Neurosurgical15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

43475 Dalcoma Dr
Ste 150
Clinton Twp, MI 48038
Phone (248) 709-6289

22151 Moross Rd
Ste 306
Detroit, MI 48236
Phone (313) 745-4266

4201 Saint Antoine St
Ste 6E
Detroit, MI 48201
Phone (313) 577-1245

25500 Meadowbrook Rd
Ste 235
Novi, MI 48375

47601 Grand River Ave
Ste A120
Novi, MI 48374
Phone (248) 465-5475

5400 Fort St
Ste 200
Trenton, MI 48183
Phone (734) 675-2220

28800 Ryan Rd
Ste 200
Warren, MI 48092
Phone (248) 421-3390

Practitioners & affiliated clinicians

Practitioners 73

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.

View all 73

NPI Registry JSON

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1497379671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 MEADOWBROOK RD STE 150",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751880",
            "telephone_number": "248-784-3667",
            "fax_number": "248-869-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 FORT ST STE 200",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481834636",
            "telephone_number": "877-784-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY NEUROSURGICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-03",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-784-3667",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michigan Head and Spine Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Michigan Head and Spine Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.