Individual provider Active NPI

Renata Barbara Rossi, NP

  • Surgery Physician
  • Sotufhield, MI
National Provider Identifier
1720089550
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4704173902 Issued in MI
Practice address
16001 West Nine Mile Rd
Dept of Cardiovascular Surgery
Sotufhield, MI 48075
Phone
(248) 849-3000
NPI assigned
Aug 2, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4704173902 MI Primary

Addresses

Primary practice location

16001 West Nine Mile Rd
Dept of Cardiovascular Surgery
Sotufhield, MI 48075

Mailing address

16001 W 9 Mile Rd
Dept of Surgery
Southfield, MI 48075-4818
Phone (248) 849-3000

Other identifiers 2

IdentifierTypeStateIssuer
0204457OtherHONOR SOCIETY OF NURSING
391OtherMIMI COUNCIL OF NP'S

Other names 1

  • Renata Barbara Sobecka Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: rrossi1149622@direct.hfhs.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1720089550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16001 W 9 MILE RD",
            "address_2": "DEPT OF SURGERY",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754818",
            "telephone_number": "248-849-3000",
            "fax_number": "248-465-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16001 WEST NINE MILE RD",
            "address_2": "DEPT OF CARDIOVASCULAR SURGERY",
            "city": "SOTUFHIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "248-849-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSI",
        "first_name": "RENATA",
        "middle_name": "BARBARA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4704173902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HONOR SOCIETY OF NURSING",
            "identifier": "0204457",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI COUNCIL OF NP'S",
            "identifier": "391",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENATA",
            "last_name": "SOBECKA",
            "middle_name": "BARBARA",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Sources for this page

Verify at the official NPI Registry.