Active NPI
Michigan Outpatient Surgical Solutions, LLC
- Ambulatory Surgical Clinic/Center
- Novi, MI
National Provider Identifier
1891298089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- MICHIGAN OUTPATIENT SURGICAL SOLUTIONS, LLC
- Practice address
- 46325 W 12 Mile Rd Ste 100
Novi, MI 48377-2457 - Phone
- (248) 618-2121
- Fax
- (248) 618-2127
- NPI assigned
- Mar 14, 2018
- Organization subpart
- No
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Livonia, MI
- NPI 1164497194
-
- Orthopaedic Surgery Physician
- Livonia, MI
- NPI 1801053996
-
- Surgery of the Hand (Plastic Surgery) Physician
- Novi, MI
- NPI 1194088088
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Michigan Outpatient Surgical Solutions
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2146460 | Michigan Outpatient Surgical Solutions, LLC | Certificate of waiver | Mar 28, 2028 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180531000588 | MI | Part B Supplier - Ambulatory Surgical Center | 0547525172 | Practice locations: Novi, MI |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jonathan Bailey
- Title
- Officer/Authorized Official
- Phone
- (203) 609-1168
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
46325 W 12 Mile Rd Ste 100
Novi, MI 48377-2457
Mailing address
46325 W Twelve Mile Rd Ste 100
Novi, MI 48377-2457
Phone (248) 618-2121
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
NPI Registry JSON
{
"created_epoch": "1520985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785801600000",
"number": "1891298089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46325 W TWELVE MILE RD STE 100",
"city": "NOVI",
"state": "MI",
"postal_code": "483772457",
"telephone_number": "248-618-2121",
"fax_number": "248-618-2127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46325 W 12 MILE RD STE 100",
"city": "NOVI",
"state": "MI",
"postal_code": "483772457",
"telephone_number": "248-618-2121",
"fax_number": "248-618-2127"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHIGAN OUTPATIENT SURGICAL SOLUTIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-14",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "OFFICER/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "203-609-1168"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Novi, MI
- Michigan Health Care, Inc.
- Michigan Hope Care LLC
- Michigan Neurology Clinic PC
- Michigan Orthopaedic Surgeons PLLC
- Michigan Orthopedic Services LLC
- Michigan Pain Management Consultants-West, PC
- Michigan Pain Management Consultants, PC Naapn
- Michigan Respiratory and Sleep Physicians PLLC
- Michigan Surgery Specialists P.C.
- Stephanie Mickens
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.