NPIMap

Individual provider Active NPI

Carole Fernande Condevaux, MD

  • Obstetrics & Gynecology Physician
  • Rochester, MI
National Provider Identifier
1508902370
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
CC052610 Issued in MI
Practice address
6700 North Rochester Road
Paint Creek Obsetrics and Gynecology PC Suite 112
Rochester, MI 48306
Phone
(248) 650-1534
Fax
(248) 650-1537
NPI assigned
Jan 29, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X CC052610 MI Primary

Addresses

Primary practice location

6700 North Rochester Road
Paint Creek Obsetrics and Gynecology PC Suite 112
Rochester, MI 48306

Mailing address

6700 North Rochester Road
Suite 112
Rochester, MI 48306
Phone (248) 650-1534

Other identifiers 1

IdentifierTypeStateIssuer
3382641MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031217000498 MI Practitioner - Obstetrics/Gynecology 8527965706 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Michigan Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Together Women's Health Medical Group, P.C.Group PAC ID 2466543640, 74 clinicians

Practice addresses (Care Compare)

6700 N Rochester Rd
Suite 210
Rochester Hills, MI 48306-4378
Phone (248) 650-1534

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.65 of 100Reported as group
Quality
84.82
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
CC052610MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Medical Group Hospital -Based Services CurrentSince Dec 22, 2024 Accepting new patients
Together Women's Health Medical Group, P.C. Obstetrics & Gynecology CurrentSince Jan 17, 2023 Accepting new patients
William Beaumont Hospital Past Accepting new patients
Together Women's Health Medical Group of Illinois, PLLC Past Accepting new patients
Riverbend Health Care PC Past Accepting new patients

Locations

1349 S Rochester Rd
Ste 125
Rochester Hills, MI 48307
Phone (248) 650-1534

6700 N Rochester Rd
Ste 112
Rochester Hills, MI 48306
Phone (248) 364-0500

6700 N Rochester Rd
Ste 210
Rochester Hills, MI 48306
Phone (248) 650-1534

29751 Little Mack Ave
Ste B
Roseville, MI 48066

3601 W 13 Mile Rd
Royal Oak, MI 48073

44344 Dequindre Rd
Ste 480
Sterling Hts, MI 48314
Phone (583) 323-8935

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

Interoperability endpoints

  • Direct secure messaging: carole.condevaux.1@23349.direct.athenahealth.com
  • Direct secure messaging: ccondevaux273537@epic00.shdirect.org

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508902370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 NORTH ROCHESTER ROAD",
            "address_2": "SUITE 112",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "48306",
            "telephone_number": "248-650-1534",
            "fax_number": "248-650-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 NORTH ROCHESTER ROAD",
            "address_2": "PAINT CREEK OBSETRICS AND GYNECOLOGY PC SUITE 112",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "48306",
            "telephone_number": "248-650-1534",
            "fax_number": "248-650-1537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDEVAUX",
        "first_name": "CAROLE",
        "middle_name": "FERNANDE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "CC052610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3382641",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MI

Sources for this page

Verify at the official NPI Registry.