Organization Active NPI

Cesar D Hidalgo MD PC

  • Medical Specialty Clinic/Center
  • Rochester Hills, MI
National Provider Identifier
1962711549
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
4301039585 Issued in MI
Legal business name
CESAR D HIDALGO MD PC
Practice address
595 Barclay Cir
Suite C
Rochester Hills, MI 48307-5802
Phone
(248) 852-1777
Fax
(248) 852-5001
NPI assigned
Sep 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
Dr. Cesar Diaz Hidalgo, MDNPI 1477530806
Title
President
Phone
(248) 852-1777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 4301039585 MI
Medical Specialty Clinic/Center 261QM2500X 4301039585 MI Primary

Addresses

Primary practice location

595 Barclay Cir
Suite C
Rochester Hills, MI 48307-5802

Mailing address

595 Barclay Cir
Suite C
Rochester Hills, MI 48307-5802
Phone (248) 852-1777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101027001405 MI Part B Supplier - Clinic/Group Practice 0840484457 Receives reassigned benefits from 1 practitioner
Practice locations: Rochester Hills, MI

National Provider Directory

National Provider Directory

Locations

595 Barclay Cir
Ste C
Rochester Hills, MI 48307
Phone (248) 852-1777

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1962711549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 BARCLAY CIR",
            "address_2": "SUITE C",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075802",
            "telephone_number": "248-852-1777",
            "fax_number": "248-852-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 BARCLAY CIR",
            "address_2": "SUITE C",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075802",
            "telephone_number": "248-852-1777",
            "fax_number": "248-852-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CESAR D HIDALGO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "HIDALGO",
        "authorized_official_first_name": "CESAR",
        "authorized_official_middle_name": "DIAZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-852-1777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301039585",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MI",
            "license": "4301039585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.