NPIMap

Individual provider Active NPI

Rudin Gjeka, MD

  • Interventional Cardiology Physician
  • Lapeer, MI
National Provider Identifier
1851734164
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
4301103988 Issued in MI
Practice address
1031 Suncrest Dr
Lapeer, MI 48446-1136
Phone
(810) 664-4870
NPI assigned
Apr 17, 2013
Last updated
Mar 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 4301103988 MI
Cardiovascular Disease Physician 207RC0000X 4301103988 MI
Interventional Cardiology Physician 207RI0011X 4301103988 MI Primary

Addresses

Primary practice location

1031 Suncrest Dr
Lapeer, MI 48446-1136

Mailing address

1031 Suncrest Dr
Lapeer, MI 48446-1136

Other practice location 1

1101 W University Dr
3 North
Rochester, MI 48307-1863
Phone (248) 601-4805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150916001167 MI Practitioner - Cardiovascular Disease (Cardiology) 5597072090 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

42557 Woodward Ave
Bloomfield Hills, MI 48304-5206

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting72
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301103988MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Consultants of East Michigan PLLC Cardiovascular Disease CurrentSince Aug 1, 2020 Accepting new patients
Michigan Healthcare Professionals PC Internal Medicine CurrentSince Feb 1, 2023 Accepting new patients
Elizabeth Lake Urgent Care PLLC CurrentSince Aug 26, 2015 Accepting new patients
Oxford Urgent Care P L C CurrentSince Oct 5, 2015 Accepting new patients
Lakeside Urgent Care, P. C. Internal Medicine Current Accepting new patients
Lakeside Urgent Care, P.C. Internal Medicine CurrentSince Aug 26, 2015 Accepting new patients
Washington Urgent Care, PLLC CurrentSince Aug 26, 2015 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Feb 1, 2023 Accepting new patients
First Choice Urgent Care PC PastSince Aug 26, 2015 Accepting new patients

Locations

42557 Woodward Ave
Ste 200
Bloomfield Hills, MI 48304
Phone (248) 322-0083

42557 Woodward Ave
Ste 210
Bloomfield Hills, MI 48304
Phone (248) 253-1608

44472 Hayes Rd
Clinton Twp, MI 48038
Phone (586) 412-0890

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

2222 S Linden Rd
Ste A
Flint, MI 48532
Phone (810) 733-0790

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733

1031 Suncrest Dr
Lapeer, MI 48446
Phone (810) 664-4870

1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500

72 S Washington St
Ste 102
Oxford, MI 48371
Phone (248) 236-8333

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

2632 S Rochester Rd
Unit 70747
Rochester Hills, MI 48307

2708 S Rochester Rd
Ste A
Rochester Hills, MI 48307
Phone (248) 309-3344

7701 26 Mile Rd
Washington, MI 48094
Phone (586) 935-4000

57850 Van Dyke Rd
Ste 100
Washington Twp, MI 48094
Phone (586) 203-2020

2446 Elizabeth Lake Rd
Waterford, MI 48328
Phone (248) 309-3344

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIABCD
  • Direct secure messaging: rgjeka2488645@direct.trinity-health.org
  • Direct secure messaging: rudin.gjeka.p1@direct.cava.nextgenshare.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1851734164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 SUNCREST DR",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484461136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 SUNCREST DR",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484461136",
            "telephone_number": "810-664-4870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 W University Dr",
            "address_2": "3 NORTH",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MI",
            "postal_code": "483071863",
            "country_code": "US",
            "telephone_number": "248-601-4805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GJEKA",
        "first_name": "RUDIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-17",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301103988",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301103988",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MI",
            "license": "4301103988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

Verify at the official NPI Registry.