NPIMap

Organization Active NPI

Michigan Orthopaedic Surgeons PLLC

  • Durable Medical Equipment & Medical Supplies
  • Troy, MI
National Provider Identifier
1992243703
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MICHIGAN ORTHOPAEDIC SURGEONS PLLC
Practice address
1350 Kirts Blvd
Suite 160
Troy, MI 48084-4851
Phone
(248) 244-8431
NPI assigned
Feb 1, 2017
Last updated
Jan 30, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MICHIGAN ORTHOPAEDIC SURGEONS PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Craig Roodbeen, MD
Title
Executive Committee Member
Phone
(248) 244-8431

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Prosthetic/Orthotic Supplier 335E00000X NU
Orthopaedic Surgery Physician 207X00000X NU

Addresses

Primary practice location

1350 Kirts Blvd
Suite 160
Troy, MI 48084-4851

Mailing address

26025 Lahser Rd
Third Floor
Southfield, MI 48033-2606
Phone (248) 663-1900

Other names 1

  • Troy Orthopedic Associates Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170308000874 MI DME Supplier - Physician - Orthopedic/Orthopedic Surgery 7810277811 Practice locations: Troy, MI

Other NPIs with the same Medicare PAC ID 8

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

National Provider Directory

National Provider Directory
Tax ID family
Michigan Orthopaedic PLLC8 organizations share this tax ID, including this one
Part of
Michigan Orthopaedic PLLC

Other organizations with this tax ID 7

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

Locations

26211 Central Park Blvd
Ste 201
Southfield, MI 48076
Phone (248) 845-4381

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": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1992243703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26025 LAHSER RD",
            "address_2": "THIRD FLOOR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332606",
            "telephone_number": "248-663-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 KIRTS BLVD",
            "address_2": "SUITE 160",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844851",
            "telephone_number": "248-244-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN ORTHOPAEDIC SURGEONS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHIGAN ORTHOPAEDIC SURGEONS PLLC",
        "enumeration_date": "2017-02-01",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "ROODBEEN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "EXECUTIVE COMMITTEE MEMBER",
        "authorized_official_telephone_number": "248-244-8431",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Troy Orthopedic Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.