NPIMap

Organization Active NPI

Macomb Endoscopy Center PLC

  • Ambulatory Surgical Clinic/Center
  • Macomb, MI
National Provider Identifier
1780923128
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MACOMB ENDOSCOPY CENTER PLC
Practice address
48801 Romeo Plank Rd
Suite 101
Macomb, MI 48044-2165
Phone
(586) 726-8423
Fax
(586) 726-8557
NPI assigned
Feb 5, 2013
Last updated
Feb 8, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MACOMB ENDOSCOPY CENTER, PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Authorized official

Name
Jennifer McDonald
Title
Revenue Cycle Manager
Phone
(517) 252-8698

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X MI Primary

Addresses

Primary practice location

48801 Romeo Plank Rd
Suite 101
Macomb, MI 48044-2165

Mailing address

1701 South Blvd E
Ste 300
Rochester Hills, MI 48307-6122
Phone (248) 844-9782

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130319000064 MI Part B Supplier - Ambulatory Surgical Center 1850536012 Receives reassigned benefits from 87 practitioners
1 other NPI on this enrollment
Practice locations: Macomb, MI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Macomb Endoscopy Center PLCCCN 23C0001119
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Macomb Endoscopy Center PLC2 organizations share this tax ID, including this one
Part of
Macomb Endoscopy Center PLC

Other organizations with this tax ID 1

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

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 89

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.

View all 89

NPI Registry JSON

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1780923128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SOUTH BLVD E",
            "address_2": "STE 300",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076122",
            "telephone_number": "248-844-9782",
            "fax_number": "586-726-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48801 ROMEO PLANK RD",
            "address_2": "SUITE 101",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480442165",
            "telephone_number": "586-726-8423",
            "fax_number": "586-726-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACOMB ENDOSCOPY CENTER PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MACOMB ENDOSCOPY CENTER, PLC",
        "enumeration_date": "2013-02-05",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "517-252-8698"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.