NPIMap

Organization Active NPI

Michigan Surgery Specialists, P.C.

Doing business as Motus Rehabilitation

  • Prosthetic/Orthotic Supplier
  • Dearborn, MI
National Provider Identifier
1750877627
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.
Doing business as
Motus Rehabilitation
Practice address
22731 Newman St Ste 100B
Dearborn, MI 48124
Phone
(313) 791-0616
Fax
(313) 791-0632
NPI assigned
Jul 3, 2018
Last updated
May 4, 2021By the provider in NPPES
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 Supervisor
Phone
(586) 558-9705

Specialties & licenses 1

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

Addresses

Primary practice location

22731 Newman St Ste 100B
Dearborn, MI 48124

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
30697OtherMIBCBS

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
O20181204000062 MI DME Supplier - Multi-Specialty - PhysicianDME Supplier - Orthotic Personnel 7113835075 Practice locations: Dearborn, MI

Other NPIs with the same Medicare PAC ID 9

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Michigan Surgery Specialists PC22731 Newman St, Dearborn, MI 48124-2023(313) 791-0616 Heat & Cold Applications|Neuromuscular Elect Stimulators (NMES)/Supplies|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Enteral Equipment and/or Supplies|Dia… Accepts assignmentParticipating since Jul 20, 1994

National Provider Directory

National Provider Directory
Tax ID family
Hand Surgery Assoc17 organizations share this tax ID, including this one
Part of
Hand Surgery Assoc

Other organizations with this tax ID 16

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

View all 16

Locations

22731 Newman St
Ste 100B
Dearborn, MI 48124
Phone (313) 791-0616

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.

NPI Registry JSON

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1750877627",
    "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",
            "fax_number": "586-558-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22731 NEWMAN ST STE 100B",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48124",
            "telephone_number": "313-791-0616",
            "fax_number": "313-791-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN SURGERY SPECIALISTS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHIGAN SURGERY SPECIALISTS, P.C.",
        "enumeration_date": "2018-07-03",
        "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 SUPERVISOR",
        "authorized_official_telephone_number": "586-558-9705"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "30697",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Motus Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dearborn, 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.