NPIMap

Organization Active NPI

Michigan Surgery Specialists P.C.

  • Prosthetic/Orthotic Supplier
  • Livonia, MI
National Provider Identifier
1730730987
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MICHIGAN SURGERY SPECIALISTS P.C.
Practice address
37650 Professional Center Dr Ste 105a
Livonia, MI 48154-1199
Phone
(734) 943-3838
NPI assigned
Sep 27, 2019
Organization subpart
Yes
Parent organization
MICHIGAN SURGERY SPECIALISTS P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Authorized official

Name
Michele L Kudlor
Title
Billing Manager
Phone
(586) 558-9705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

37650 Professional Center Dr Ste 105a
Livonia, MI 48154-1199

Mailing address

11012 E 13 Mile Rd Ste 200
Warren, MI 48093-2547
Phone (586) 558-9705

Other identifiers 1

IdentifierTypeStateIssuer
0E01734OtherMIBCBSM

Other names 1

  • Motus Rehabilitation Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191202002147 MI DME Supplier - Multi-Specialty - Physician 7113835075 Practice locations: Livonia, MI

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Hand Surgery Associates17 organizations share this tax ID, including this one
Part of
Hand Surgery Associates

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1730730987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11012 E 13 MILE RD STE 200",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932547",
            "telephone_number": "586-558-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37650 PROFESSIONAL CENTER DR STE 105A",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541199",
            "telephone_number": "734-943-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN SURGERY SPECIALISTS P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHIGAN SURGERY SPECIALISTS P.C.",
        "enumeration_date": "2019-09-27",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "KUDLOR",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "586-558-9705"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0E01734",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Motus Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Motus Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.