| Ascension Providence Rochester Hospital | |
|
1101 W University Dr Rochester MI 48307-1863 | |
| (248) 652-5000 | |
| Not Available |
| Full Name | Ascension Providence Rochester Hospital |
|---|---|
| Speciality | Family Medicine |
| Location | 1101 W University Dr, Rochester, Michigan |
| Authorized Official Name and Position | Sarah Starkel (BILLING COORDINATOR) |
| Authorized Official Contact | 4863625742 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension Providence Rochester Hospital 1101 W University Dr Rochester MI 48307-1863 Ph: (248) 652-5000 | Ascension Providence Rochester Hospital 1101 W University Dr Rochester MI 48307-1863 Ph: (248) 652-5000 |
| NPI Number | 1437272523 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 08/30/2023 |
| Medicare PECOS PAC ID | 8820994098 |
|---|---|
| Medicare Enrollment ID | O20040316000704 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437272523 | NPI | - | NPPES |
| 0F34943 | Other | MI | PROFESSIONAL INTERNAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 630070 (Michigan) | Primary |
| Provider Name | Nishit Choksi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992764641 PECOS PAC ID: 5991617375 Enrollment ID: I20031118001004 |
| Provider Name | Mahendra B Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922193036 PECOS PAC ID: 4789582412 Enrollment ID: I20031219000457 |
| Provider Name | Marc C Silver |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285746610 PECOS PAC ID: 2961395298 Enrollment ID: I20040202001174 |
| Provider Name | Mark P Stuart |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447243977 PECOS PAC ID: 7618865486 Enrollment ID: I20040304001257 |
| Provider Name | Shahrokh H Mansoori |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1053334177 PECOS PAC ID: 1951290162 Enrollment ID: I20040316000112 |
| Provider Name | Jeffrey M Shulak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558387753 PECOS PAC ID: 6204820707 Enrollment ID: I20040412000713 |
| Provider Name | Katharine A Scharer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649296849 PECOS PAC ID: 5496749996 Enrollment ID: I20040412001050 |
| Provider Name | Venkata R Jasty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184661670 PECOS PAC ID: 6608861844 Enrollment ID: I20040417000267 |
| Provider Name | Kehinde A Ayeni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366520470 PECOS PAC ID: 8729073580 Enrollment ID: I20040420000261 |
| Provider Name | Chandra S Reddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083649545 PECOS PAC ID: 9335124171 Enrollment ID: I20040624000053 |
| Provider Name | Ashish M Mody |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235183831 PECOS PAC ID: 3779562228 Enrollment ID: I20040717000196 |
| Provider Name | Robert Lacoste |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689618076 PECOS PAC ID: 8921996786 Enrollment ID: I20040731000316 |
| Provider Name | Sarah S Guadalupe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427159599 PECOS PAC ID: 0648244087 Enrollment ID: I20040823000612 |
| Provider Name | Joan S Crawford |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124077953 PECOS PAC ID: 2668447269 Enrollment ID: I20040827000562 |
| Provider Name | Michael D Engel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386606671 PECOS PAC ID: 2163491580 Enrollment ID: I20041001000015 |
| Provider Name | Srinivas Koneru |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477599587 PECOS PAC ID: 9335108802 Enrollment ID: I20041008001147 |
| Provider Name | Ahmad B Shahbandar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831174648 PECOS PAC ID: 7911968011 Enrollment ID: I20041021001041 |
| Provider Name | Jay Pradhan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790755049 PECOS PAC ID: 2466413398 Enrollment ID: I20041022001106 |
| Provider Name | Donald B Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699718189 PECOS PAC ID: 9537056205 Enrollment ID: I20041130000397 |
| Provider Name | Catherine T Loniewski Girdler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275575250 PECOS PAC ID: 0446233142 Enrollment ID: I20041202000937 |
| Provider Name | Michael Nicholson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942241633 PECOS PAC ID: 7012973209 Enrollment ID: I20041209000183 |
| Provider Name | Peter J Korda |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760564116 PECOS PAC ID: 6406814789 Enrollment ID: I20050103000965 |
| Provider Name | Divakar N Pai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447212642 PECOS PAC ID: 4183536568 Enrollment ID: I20050205000089 |
| Provider Name | Anil K Goel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306836416 PECOS PAC ID: 9234176397 Enrollment ID: I20050412000552 |
| Provider Name | Shahzad Sadiq |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295752210 PECOS PAC ID: 9638065287 Enrollment ID: I20050801000603 |
| Provider Name | Anthony J Kawa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881643955 PECOS PAC ID: 5193758001 Enrollment ID: I20050912001127 |
| Provider Name | Peter J Littrup |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043206881 PECOS PAC ID: 7911926944 Enrollment ID: I20051118000108 |
| Provider Name | Zakwan Mahjoub |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316916729 PECOS PAC ID: 2163446915 Enrollment ID: I20060119000170 |
| Provider Name | James J Giliberto |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629057054 PECOS PAC ID: 6608821335 Enrollment ID: I20060314000413 |
| Provider Name | James E Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467450304 PECOS PAC ID: 1658388905 Enrollment ID: I20060406000384 |
| Provider Name | Sunilkumar Rao |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508875386 PECOS PAC ID: 4385648948 Enrollment ID: I20060913000171 |
| Provider Name | Steven D Rimar |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1205818994 PECOS PAC ID: 7012916562 Enrollment ID: I20061211000090 |
| Provider Name | Amy E Wright |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740274737 PECOS PAC ID: 6507950144 Enrollment ID: I20070913000511 |
| Provider Name | Bohdan N Zarewych |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225190895 PECOS PAC ID: 4688763642 Enrollment ID: I20071129000152 |
| Provider Name | Samer Y Kazziha |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1548243835 PECOS PAC ID: 1052394756 Enrollment ID: I20080122000709 |
| Provider Name | Brian K Reedy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467545483 PECOS PAC ID: 3577466457 Enrollment ID: I20080227000560 |
| Provider Name | Annie Kalapparambath |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235349234 PECOS PAC ID: 3375614852 Enrollment ID: I20080611000839 |
| Provider Name | Hammam D Zmily |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275736886 PECOS PAC ID: 3375610165 Enrollment ID: I20081001000500 |
| Provider Name | Gregory G Stevens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275672420 PECOS PAC ID: 3072676303 Enrollment ID: I20090113000778 |
| Provider Name | Saba Darda |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427171321 PECOS PAC ID: 4587710686 Enrollment ID: I20090915000193 |
| Provider Name | Peter Rydesky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053537910 PECOS PAC ID: 3274674510 Enrollment ID: I20100108000083 |
| Provider Name | Michael Vickery |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285675322 PECOS PAC ID: 2365585338 Enrollment ID: I20100817000262 |
| Provider Name | Matthew J Kovie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497961353 PECOS PAC ID: 1557555471 Enrollment ID: I20101104000234 |
| Provider Name | Ana M Rotar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710188529 PECOS PAC ID: 9133301104 Enrollment ID: I20110311000613 |
| Provider Name | Thomas Vanhecke |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528273232 PECOS PAC ID: 1153591797 Enrollment ID: I20110908002240 |
| Provider Name | Mazen S Afram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376616615 PECOS PAC ID: 3476710476 Enrollment ID: I20120202000449 |
| Provider Name | Sindhu Koshy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053341958 PECOS PAC ID: 6507026226 Enrollment ID: I20120404000290 |
| Provider Name | William J Nazzaro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306008586 PECOS PAC ID: 6103089545 Enrollment ID: I20120522000820 |
| Provider Name | Ayad S Jazrawi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760605166 PECOS PAC ID: 6406012129 Enrollment ID: I20120725000366 |
| Provider Name | Thomas P Miller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639480221 PECOS PAC ID: 2567698475 Enrollment ID: I20131125001331 |
| Provider Name | Zaid Riyadh Kasmikha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083902761 PECOS PAC ID: 7618105453 Enrollment ID: I20140124000573 |
| Provider Name | Neal Hall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215166681 PECOS PAC ID: 8820211527 Enrollment ID: I20150824000375 |
| Provider Name | Nishtha Sareen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154633899 PECOS PAC ID: 3274832555 Enrollment ID: I20160509001981 |
| Provider Name | Aimee S Kessel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861600298 PECOS PAC ID: 9638452105 Enrollment ID: I20170207001089 |
| Provider Name | Rebekah Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568691897 PECOS PAC ID: 0840575379 Enrollment ID: I20170324002030 |
| Provider Name | Joseph Cuppari |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538470067 PECOS PAC ID: 0749509438 Enrollment ID: I20170524002644 |
| Provider Name | Steven D Brooks |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255624425 PECOS PAC ID: 1153641709 Enrollment ID: I20170727001067 |
| Provider Name | Tej Desai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114214772 PECOS PAC ID: 2769756600 Enrollment ID: I20170915002703 |
| Provider Name | Kristen Renee Kent |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386026581 PECOS PAC ID: 4688959836 Enrollment ID: I20191014000806 |
Inpatient Hospitalists And Internists, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1101 W University Dr, Rochester, MI 48307 Phone: 248-652-5232 Fax: 248-652-5537 | |
Country Creek Family Physicians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4986 Adams Rd, Ste A, Rochester, MI 48306 Phone: 248-475-4301 Fax: 248-475-4305 | |
Ascension Providence Rochester Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 W University Dr, Rochester, MI 48307 Phone: 248-652-5000 | |
Namdeo Kale Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1135 W University Dr, Ste 225, Rochester, MI 48307 Phone: 248-650-4680 Fax: 248-652-1095 | |
I M Elite Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 W University Dr, Rochester, MI 48307 Phone: 248-652-5000 | |
Mazen S Afram M.d.p.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1135 W University Dr, Ste 300, Rochester, MI 48307 Phone: 248-650-4738 Fax: 248-650-4976 | |
Regents Of The Univ Of Michigan Heart Surgery Program Critteton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 W University Dr, Rochester, MI 48307 Phone: 248-652-6927 |