Individual provider Active NPI

Allen R Prince, D.O.,F.A.A.S.O.S.

  • Orthopaedic Surgery Physician
  • Auburn Hills, MI
National Provider Identifier
1689666398
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
5101008138 Issued in MI
Practice address
3100 Cross Creek Pkwy
Suite 200
Auburn Hills, MI 48326-2774
Phone
(248) 377-8000
Fax
(248) 377-2929
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 5101008138 MI Primary

Addresses

Primary practice location

3100 Cross Creek Pkwy
Suite 200
Auburn Hills, MI 48326-2774

Mailing address

3100 Cross Creek Pkwy
Suite 200
Auburn Hills, MI 48326-2774
Phone (248) 377-8000

Other identifiers 1

IdentifierTypeStateIssuer
4151353MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Athena

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090108000519 MI Practitioner - Orthopedic Surgery 8325084536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester Knee and Sports Medicine PCGroup PAC ID 1355387564, 31 clinicians

Practice addresses (Care Compare)

3100 Cross Creek Pkwy
Auburn Hills, MI 48326-2775

3100 Cross Creek Pkwy
Suite 200
Auburn Hills, MI 48326-2776
Phone (248) 377-8000

Hospital & facility affiliations

  • McLaren Oakland Hospital, Pontiac, MI, CCN 230207

Merit-based Incentive Payment System (MIPS)

Final score
78.53 of 100Reported as group
Quality
60.91
Promoting interoperability
98
Improvement activities
40
Cost
69.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester Knee & Sports Medicine PC CurrentSince Jul 1, 1996 Accepting new patients
Rochester Knee & Sports Medicine, PC Orthopaedic Surgery CurrentSince Dec 3, 2008 Accepting new patients

Locations

3100 Cross Creek Pkwy
Ste 200
Auburn Hills, MI 48326
Phone (248) 377-8000

3100 Cross Creek Pkwy
Ste 160
Auburn Hills, MI 48326
Phone (248) 364-4064

385 N Lapeer Rd
Oxford, MI 48371
Phone (248) 628-2597

Interoperability endpoints

  • Direct secure messaging: allen.prince.1@16694.direct.athenahealth.com
  • Direct secure messaging: aprince1145080@direct.hfhs.org

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
McLaren OaklandPontiac, MI, CCN 230207 Hospital Corporate Director Jul 1, 2003
McLaren OaklandPontiac, MI, CCN 23T207 Hospital Corporate Director Jul 1, 2003
McLaren OaklandPontiac, MI, CCN 23S207 Hospital Corporate Director Jul 1, 2003
Lake Orion Nursing and Rehabilitation CenterLake Orion, MI, CCN 235481 Skilled nursing facility Corporate Director
Trustee of the SNF
Jul 1, 2003
Jul 1, 2003

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1689666398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 CROSS CREEK PKWY",
            "address_2": "SUITE 200",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262774",
            "telephone_number": "248-377-8000",
            "fax_number": "248-377-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CROSS CREEK PKWY",
            "address_2": "SUITE 200",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262774",
            "telephone_number": "248-377-8000",
            "fax_number": "248-377-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "ALLEN",
        "middle_name": "R",
        "credential": "D.O.,F.A.A.S.O.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101008138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4151353",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Athena",
            "affiliation": "N",
            "address_1": "3100 Cross Creek Pkwy",
            "address_2": "Suite 200",
            "city": "Auburn Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483262774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Auburn Hills, MI

Sources for this page

Verify at the official NPI Registry.