Individual provider Active NPI

Roland F Chalifoux Jr., DO

  • Neurological Surgery Physician
  • Clinton Township, MI
National Provider Identifier
1710912498
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
5101009950 Issued in MI
Practice address
34025 Harper Ave
Clinton Township, MI 48035-3737
Phone
(586) 445-9900
NPI assigned
Jul 11, 2006
Last updated
Aug 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 5101009950 MI Primary
Interventional Pain Medicine Physician 208VP0014X 5101009950 MI
Interventional Pain Medicine Physician 208VP0014X 2077 WV
Interventional Pain Medicine Physician 208VP0014X 34.016792 OH

Addresses

Primary practice location

34025 Harper Ave
Clinton Township, MI 48035-3737

Mailing address

PO Box 6115
Wheeling, WV 26003-0737
Phone (304) 242-4004

Other practice location 1

1001 W Baltimore St
McMechen, WV 26040-1503
Phone (304) 242-4004

Other practice location 2

1 Community St Ste 4
Wheeling, WV 26003-5250
Phone (304) 242-4004

Other practice location 3

90 N 4th St
Martins Ferry, OH 43935-1648
Phone (304) 242-4004

Other identifiers 2

IdentifierTypeStateIssuer
3810004422MedicaidWV
2625001MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, MI, OH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050822000082 WV Practitioner - Pain ManagementPractitioner - Neurosurgery 5698705416
I20230430000065 MI Practitioner - Neurosurgery 5698705416 Reassigns benefits to 2 organizations
I20240730004170 OH Practitioner - Pain ManagementPractitioner - Neurosurgery 5698705416

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of New England, College of Osteo Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michigan Neurology Associates PCGroup PAC ID 8628987468, shared by 2 NPIs, 18 clinicians

Practice addresses (Care Compare)

34025 Harper Ave
Clinton Township, MI 48035-3737
Phone (586) 445-9900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.016792OHMDInterventional Pain Medicine Physician
2077WVMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roland Chalifoux Jr DO PLLC Neurological Surgery Current Accepting new patients
Michigan Neurology Associates, P.C. CurrentSince Apr 1, 2023 Accepting new patients
Michigan Neurology Associates PC Neurological Surgery CurrentSince Apr 1, 2023 Accepting new patients

Locations

34025 Harper Ave
Clinton Twp, MI 48035
Phone (586) 445-9900

19699 E 8 Mile Rd
St Clr Shores, MI 48080
Phone (586) 445-9900

1001 W Baltimore St
McMechen, WV 26040
Phone (304) 242-4004

Organizations & group practices 4

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 7

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1710912498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6115",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260030737",
            "telephone_number": "304-242-4004",
            "fax_number": "304-242-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34025 HARPER AVE",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480353737",
            "telephone_number": "586-445-9900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 W Baltimore St",
            "address_purpose": "LOCATION",
            "city": "McMechen",
            "state": "WV",
            "postal_code": "260401503",
            "country_code": "US",
            "telephone_number": "304-242-4004",
            "fax_number": "304-242-8004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Community St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Wheeling",
            "state": "WV",
            "postal_code": "260035250",
            "country_code": "US",
            "telephone_number": "304-242-4004",
            "fax_number": "304-242-8004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Martins Ferry",
            "state": "OH",
            "postal_code": "439351648",
            "country_code": "US",
            "telephone_number": "304-242-4004",
            "fax_number": "304-242-8004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHALIFOUX",
        "first_name": "ROLAND",
        "middle_name": "F",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "5101009950",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MI",
            "license": "5101009950",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "WV",
            "license": "2077",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OH",
            "license": "34.016792",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810004422",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2625001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.