NPIMap

Individual provider Active NPI

Rodi Olli, NURSE PRACTITIONER

  • Nurse Practitioner
  • Sterling Heights, MI
National Provider Identifier
1649864430
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704321544 Issued in MI
Practice address
44068 Rushcliffe Dr
Sterling Heights, MI 48313-5900
Phone
(586) 883-4749
NPI assigned
Feb 23, 2021
Last updated
Feb 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704321544 MI Primary

Addresses

Primary practice location

44068 Rushcliffe Dr
Sterling Heights, MI 48313-5900

Mailing address

44068 Rushcliffe Dr
Sterling Heights, MI 48313-5900
Phone (586) 883-4749

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
I20210408002483 MI Practitioner - Nurse Practitioner 4789092883 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

13850 E 12 Mile Rd
Warren, MI 48088-3730
Phone (586) 552-4499

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.52 of 100Reported as group
Quality
90.31
Promoting interoperability
98
Improvement activities
40
Cost
76.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704321544MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Physical Medicine & Rehabilitation PC CurrentSince Feb 13, 2023 Accepting new patients
Baldwin Urgent Care PLLC CurrentSince Jan 26, 2022 Accepting new patients
Primary Medicine PC CurrentSince Nov 1, 2021 Accepting new patients
American Standard Pharmaceuticals CurrentSince Mar 4, 2021 Accepting new patients
Vax Solution Inc Past Accepting new patients

Locations

50174 Schoenherr Rd
Ste B
Shelby Township, MI 48315
Phone (586) 251-0100

13850 E 12 Mile Rd
Warren, MI 48088
Phone (586) 552-4499

Interoperability endpoints

  • Direct secure messaging: rodi.olli.1@13626.direct.athenahealth.com
  • Direct secure messaging: rolli1143401@direct.hfhs.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 9

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": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1649864430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44068 RUSHCLIFFE DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483135900",
            "telephone_number": "586-883-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44068 RUSHCLIFFE DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483135900",
            "telephone_number": "586-883-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLLI",
        "first_name": "RODI",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704321544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.