Organization Active NPI

Flat Rock Cardiology PC

  • Medical Specialty Clinic/Center
  • Flat Rock, MI
National Provider Identifier
1578891735
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
FLAT ROCK CARDIOLOGY PC
Practice address
29100 Gateway Boulevard
Suite 300
Flat Rock, MI 48134
Phone
(734) 379-0781
NPI assigned
Nov 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Authorized official

Name
Michael Andrew Kalata, D.O.NPI 1972707602
Title
President
Phone
(734) 675-8428

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
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

29100 Gateway Boulevard
Suite 300
Flat Rock, MI 48134

Mailing address

2764 Riverside Drive
Trenton, MI 48183

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100320000210 MI Part B Supplier - Clinic/Group Practice 9133254766 Receives reassigned benefits from 1 practitioner
Practice locations: Flat Rock, MI; Dearborn, MI; Wyandotte, MI; Trenton, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1094088Flat Rock Cardiology PC29100 Gateway Blvd Suite 300, Flat Rock, MI 48134Certificate of waiverJan 8, 2027

National Provider Directory

National Provider Directory

Locations

29100 Gateway Blvd
Ste 300
Flat Rock, MI 48134
Phone (734) 379-0781

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1578891735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2764 RIVERSIDE DRIVE",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "48183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29100 GATEWAY BOULEVARD",
            "address_2": "SUITE 300",
            "city": "FLAT ROCK",
            "state": "MI",
            "postal_code": "48134",
            "telephone_number": "734-379-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAT ROCK CARDIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-30",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "KALATA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-675-8428",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flat Rock, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.