NPIMap

Organization Active NPI

Grosse Pointe Urologic Surgeons

  • Urology Physician
  • Roseville, MI
National Provider Identifier
1558319921
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
GROSSE POINTE UROLOGIC SURGEONS
Practice address
18325 10 Mile
Ste 200
Roseville, MI 48066
Phone
(586) 773-6300
Fax
(586) 773-6266
NPI assigned
May 5, 2006
Last updated
Apr 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Dinesh John Telang, MDNPI 1265498117
Title
Partner
Phone
(586) 773-6300

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
Urology Physician 208800000X Primary

Addresses

Primary practice location

18325 10 Mile
Ste 200
Roseville, MI 48066

Mailing address

18325 10 Mile
Ste 200
Roseville, MI 48066
Phone (586) 773-6300

Other identifiers 2

IdentifierTypeStateIssuer
0E01005OtherMIBCBS
C10675OtherMIRAILROAD MEDICARE PIN

National Provider Directory

National Provider Directory
Tax ID family
Gross Pointe Urologic Surgeons2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2724 N Oak St
Valdosta, GA 31602
Phone (229) 247-8484

18325 E 10 Mile Rd
Ste 200
Roseville, MI 48066
Phone (586) 773-6300

29753 Hoover Rd
Ste 102B
Warren, MI 48093
Phone (586) 558-8365

Practitioners & affiliated clinicians

Practitioners 5

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": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1558319921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18325 10 MILE",
            "address_2": "STE 200",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "48066",
            "telephone_number": "586-773-6300",
            "fax_number": "586-773-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18325 10 MILE",
            "address_2": "STE 200",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "48066",
            "telephone_number": "586-773-6300",
            "fax_number": "586-773-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROSSE POINTE UROLOGIC SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "TELANG",
        "authorized_official_first_name": "DINESH",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "586-773-6300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0E01005",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "C10675",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.