Organization Active NPI

Meadowbrook Internists P C

  • Internal Medicine Physician
  • Rochester Hills, MI
National Provider Identifier
1710163860
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MEADOWBROOK INTERNISTS P C
Practice address
2370 Walton Blvd
Ste. 1
Rochester Hills, MI 48309-1471
Phone
(248) 601-9200
Fax
(248) 601-9937
NPI assigned
Jan 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Authorized official

Name
Mrs. Alice Cavaiani
Title
Office Manager
Phone
(248) 856-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MI Primary

Addresses

Primary practice location

2370 Walton Blvd
Ste. 1
Rochester Hills, MI 48309-1471

Mailing address

75 Barclay Circle
Suite 230
Rochester Hills, MI 48307-5823
Phone (248) 856-6600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110801000363 MI Part B Supplier - Clinic/Group Practice 3274702675 Receives reassigned benefits from 3 practitioners
Practice locations: Rochester Hills, MI

National Provider Directory

National Provider Directory

Locations

2370 Walton Blvd
Ste 1
Rochester Hills, MI 48309
Phone (248) 601-9200

Practitioners & affiliated clinicians

Practitioners 4

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": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1710163860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BARCLAY CIRCLE",
            "address_2": "SUITE 230",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075823",
            "telephone_number": "248-856-6600",
            "fax_number": "248-856-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 WALTON BLVD",
            "address_2": "STE. 1",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091471",
            "telephone_number": "248-601-9200",
            "fax_number": "248-601-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWBROOK INTERNISTS P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "CAVAIANI",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-856-6600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.