NPIMap

Organization Active NPI

Southeast Michigan Surgical Hospital, LLC

Doing business as Insight Surgical Hospital

  • Durable Medical Equipment & Medical Supplies
  • Warren, MI
National Provider Identifier
1750411856
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5677490001 Issued in MI
Legal business name
SOUTHEAST MICHIGAN SURGICAL HOSPITAL, LLC
Doing business as
Insight Surgical Hospital
Southeast Michigan Surgical Hospital
Practice address
21230 Dequindre Rd
Southeast Michigan Surgical Hospital
Warren, MI 48091
Phone
(586) 427-1000
Fax
(586) 759-0237
NPI assigned
Mar 7, 2007
Last updated
May 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Authorized official

Name
Mrs. Robin Cole
Title
Director
Phone
(810) 275-9333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 5677490001 MI Primary

Addresses

Primary practice location

21230 Dequindre Rd
Southeast Michigan Surgical Hospital
Warren, MI 48091

Mailing address

21230 Dequindre Rd
Southeast Michigan Surgical Hospital
Warren, MI 48091
Phone (586) 427-1000

Other names 2

  • Insight Surgical Hospital Doing business as
  • SOUTHEAST MICHIGAN SURGICAL HOSPITAL Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250625000583 MI DME Supplier - Hospital 2860303278 Practice locations: Warren, MI

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Southeast Michigan Surgical6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

4800 S Saginaw St
Fl 3
Flint, MI 48507

4800 S Saginaw St
Ste 1626
Flint, MI 48507
Phone 8102759333116

4800 S Saginaw St
Ste 1801
Flint, MI 48507

4800 S Saginaw St
Ste 1825
Flint, MI 48507
Phone 8102759333116

4800 S Saginaw St
Ste 1900
Flint, MI 48507
Phone (586) 484-8699

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1750411856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21230 DEQUINDRE RD",
            "address_2": "SOUTHEAST MICHIGAN SURGICAL HOSPITAL",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48091",
            "telephone_number": "586-427-1000",
            "fax_number": "586-759-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21230 DEQUINDRE RD",
            "address_2": "SOUTHEAST MICHIGAN SURGICAL HOSPITAL",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48091",
            "telephone_number": "586-427-1000",
            "fax_number": "586-759-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST MICHIGAN SURGICAL HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "810-275-9333",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "5677490001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Insight Surgical Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SOUTHEAST MICHIGAN SURGICAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SOUTHEAST MICHIGAN SURGICAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.