NPIMap

Organization Active NPI

Southfield Rehabilitation Company

  • Ambulatory Surgical Clinic/Center
  • Warren, MI
National Provider Identifier
1619969540
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
506840 Issued in MI
Legal business name
SOUTHFIELD REHABILITATION COMPANY
Practice address
11012 Thirteen Mile Road
Suite 112a
Warren, MI 48093-2546
Phone
(586) 751-9800
Fax
(586) 751-9818
NPI assigned
Aug 17, 2005
Reactivated
Sep 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Authorized official

Name
Ronda Seley
Title
Medical Staff Coordinator
Phone
(248) 423-5198

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X 506840 MI
Orthopaedic Hand Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0106X 506840 MI
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0005X 506840 MI
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2082S0105X 506840 MI
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X 506840 MI
Ambulatory Surgical Clinic/Center 261QA1903X 506840 MI Primary
Ambulatory Surgical Clinic/Center 261QA1903X
General Acute Care Hospital 282N00000X
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X 506840 MI

Addresses

Primary practice location

11012 Thirteen Mile Road
Suite 112a
Warren, MI 48093-2546

Mailing address

22401 Foster Winter Dr
Southfield, MI 48075-3724
Phone (248) 423-5100

Other identifiers 7

IdentifierTypeStateIssuer
135598502OtherMIU.S. DEPARTMENT OF LABOR
40003OtherMIBCBS OF MI
029594OtherMIMIDWEST HEALTH PLAN
40003OtherMIBCBS OF MICHIGAN
1031384OtherMIMCLAREN HEALTH PLAN
38230OtherMIHEALTH PLAN OF MICHIGAN
4483448OtherMIAETNA

Other names 1

  • Surgeons Choice Macomb Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060414000038 MI Part B Supplier - Clinic/Group Practice 6709872617 Receives reassigned benefits from 101 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dearborn, MI; Southfield, MI; Warren, MI
O20070313000365 MI Part A Provider - Hospital 6709872617 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Warren, MI; Southfield, MI

Hospital certification: CCN 230301

Legal name
SOUTHFIELD REHABILITATION COMPANY
Doing business as
SURGEONS CHOICE MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Nov 1, 2006
Last certification
Dec 2, 2015
Beds
45
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Enrollment address
22401 Foster Winter Dr
Southfield, MI 48075-3724
Other Hospital Practice Location
Hospital subgroups
Acute care

Other NPIs on the same Medicare enrollment 4

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Surgeons Choice Medical CenterCCN 230301
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

22401 Foster Winter Dr
Southfield, MI 48075
Phone (248) 423-4100

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Richard M Singer Individual General Partnership Interest Oct 1, 2016 7.14%
Corporate Officer Oct 1, 2016 7.14%
Corporate DirectorBoard Member Jan 2, 2024 7.14%
Edward Aron Haass Individual General Partnership Interest Oct 1, 2016 7.14%
Corporate Officer Oct 1, 2016 7.14%
John a Gorski Individual General Partnership Interest Aug 1, 2022 7.14%
Corporate Officer Aug 1, 2022 7.14%
Corporate DirectorBoard Member Jan 2, 2024 7.14%
Ronda J Seley Individual W-2 Managing Employee Jun 1, 2017
Jeffrey M Hall Individual General Partnership Interest Oct 1, 2016 7.14%
Corporate Officer Oct 1, 2016 7.14%
Mehul M Mehta Individual General Partnership Interest Oct 1, 2016 7.14%
Corporate Officer Oct 1, 2016 7.14%
Alexander James Colen Individual General Partnership Interest Aug 1, 2022 7.14%
Corporate Officer Aug 1, 2022 7.14%
Phil Goy Individual Corporate DirectorCfo Jun 1, 2023
W-2 Managing EmployeeCfo Jun 1, 2023
Ara Nason Bush Individual General Partnership Interest Nov 1, 2019 7.14%
Corporate Officer Nov 1, 2019 7.14%
Daniel K Fahim Individual General Partnership Interest Oct 1, 2016 7.14%
Corporate Officer Oct 1, 2016 7.14%
Christopher DO Elia Individual General Partnership Interest Jan 1, 2024 7.14%
Corporate Officer Jan 1, 2024 7.14%
Scott Alan Laker Individual General Partnership Interest Oct 1, 2016 7.14%
Corporate Officer Oct 1, 2016 7.14%
Yisroel Sigler Individual General Partnership Interest Jan 1, 2024 7.14%
Corporate Officer Jan 1, 2024 7.14%
Corporate DirectorBoard Member Jan 5, 2026 7.14%
Nilesh M Patel Individual General Partnership Interest Oct 1, 2016 7.14%
Corporate OfficerBoard Member Oct 1, 2016 7.14%
Corporate DirectorBoard Member Oct 1, 2016 7.14%
Ronald Rook Individual General Partnership Interest Jan 1, 2017 7.14%
Corporate Officer Jan 1, 2017 7.14%
Corporate DirectorBoard Member Jan 5, 2026 7.14%
Jeremy Ryan Ciullo Individual General Partnership Interest Jul 30, 2018 7.14%
Corporate Officer Jul 30, 2018 7.14%

Owners & managing parties with NPI records 13

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 13

Practitioners & affiliated clinicians

Practitioners 1

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

  • Patricia Ljubic, CRNA
    • Certified Registered Nurse Anesthetist
    • Royal Oak, MI
    • NPI 1013985472

    Nurse Anesthetist, Certified Registered

    NPD

Affiliated clinicians 104

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 104

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1619969540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22401 FOSTER WINTER DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753724",
            "telephone_number": "248-423-5100",
            "fax_number": "248-423-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11012 THIRTEEN MILE ROAD",
            "address_2": "SUITE 112A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932546",
            "telephone_number": "586-751-9800",
            "fax_number": "586-751-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHFIELD REHABILITATION COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "deactivation_date": "2008-06-04",
        "reactivation_date": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "SELEY",
        "authorized_official_first_name": "RONDA",
        "authorized_official_title_or_position": "MEDICAL STAFF COORDINATOR",
        "authorized_official_telephone_number": "248-423-5198"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "506840",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "MI",
            "license": "506840",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MI",
            "license": "506840",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "MI",
            "license": "506840",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "506840",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MI",
            "license": "506840",
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "506840",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U.S. DEPARTMENT OF LABOR",
            "identifier": "135598502",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "40003",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDWEST HEALTH PLAN",
            "identifier": "029594",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "40003",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN",
            "identifier": "1031384",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN OF MICHIGAN",
            "identifier": "38230",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4483448",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgeons Choice Macomb Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.