Organization Active NPI

Avery Arora, MD PC

  • Surgery of the Hand (Surgery) Physician
  • West Bloomfield, MI
National Provider Identifier
1689163529
Registry record updated May 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
4301085509 Issued in MI
Legal business name
AVERY ARORA, MD PC
Practice address
7001 Orchard Lake Rd Ste 220
West Bloomfield, MI 48322-3606
Phone
(888) 392-4263
Fax
(888) 392-4263
NPI assigned
May 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2021

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

Authorized official

Name
Avery A. Arora, MDNPI 1932313558
Title
President
Phone
(888) 392-4263

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
Surgery of the Hand (Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0105X 4301085509 MI Primary

Addresses

Primary practice location

7001 Orchard Lake Rd Ste 220
West Bloomfield, MI 48322-3606

Mailing address

7001 Orchard Lake Rd Ste 220
West Bloomfield, MI 48322-3606
Phone (888) 392-4263

Other identifiers 2

IdentifierTypeStateIssuer
1689163529OtherGROUP NPI
1932313558OtherINDIVIDUAL NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address avery.arora@ksg.eclinicaldirectplus.com Direct

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180803002340 MI Part B Supplier - Clinic/Group Practice 7315295524 Receives reassigned benefits from 6 practitioners
Practice locations: West Bloomfield, MI
O20190502001876 MI DME Supplier - Physician - General Practice 7315295524 Practice locations: West Bloomfield, MI

National Provider Directory

National Provider Directory

Locations

46591 Romeo Plank Rd
Ste 105
Macomb, MI 48044
Phone (248) 247-7800

46591 Romeo Plank Rd
Ste 150A
Macomb, MI 48044

28295 Schoenherr Rd
Ste B
Warren, MI 48088
Phone (586) 226-6120

Interoperability endpoints

  • Direct secure messaging: avery.arora@ksg.eclinicaldirectplus.com

Practitioners & affiliated clinicians

Practitioners 6

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": "1525651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622332800000",
    "number": "1689163529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 ORCHARD LAKE RD STE 220",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223606",
            "telephone_number": "888-392-4263",
            "fax_number": "888-392-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 ORCHARD LAKE RD STE 220",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223606",
            "telephone_number": "888-392-4263",
            "fax_number": "888-392-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVERY ARORA, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-07",
        "last_updated": "2021-05-30",
        "certification_date": "2021-05-30",
        "status": "A",
        "authorized_official_last_name": "ARORA",
        "authorized_official_first_name": "AVERY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-392-4263",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgery of the Hand",
            "state": "MI",
            "license": "4301085509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1689163529",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1932313558",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "avery.arora@ksg.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7001 Orchard Lake Rd Ste 220",
            "city": "West Bloomfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483223606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.