JAMES A ROWLEY (MD) – Sleep Medicine (Internal Medicine) Physician, NPI 1184662207
Sleep Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
153 SLEEP MEDICINE in MI
Provider Addresses for JAMES A ROWLEY (MD)
4201 SAINT ANTOINE ST STE 5V
DETROIT, MI 482012153
Phone: (313) 745-4525
Fax: (313) 745-8725
Type: Location
710 S PAULINA ST
CHICAGO, IL 606123808
Phone: (312) 942-5440
Type: Location
4201 Saint Antoine St Ste 5V
Detroit, MI 482012153
Phone: (313) 745-4525
Fax: (313) 745-8725
Type: Location
400 Mack Ave
Detroit, MI 482012136
Phone: (313) 448-9650
Fax: (313) 448-9979
Type: Location
400 MACK AVE STE 400
DETROIT, MI 482012136
Phone:
Type: Mailing
1560, East Maple Road, Troy, Oakland County, Michigan, 48083, United States
SUITE 400-CREDENTIALING
TROY, MI 480831135
Phone: (248) 581-5972
Fax: (248) 581-5640
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2023-02-07 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $19 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-05-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060707000161 | I | Pulmonary Disease | MI | TBD |
| I20230527000324 | I | Sleep Medicine | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 98 | 46 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 58 | 50 | $0 |
| 95810 | Sleep study in sleep lab (6 years or older) | 53 | 53 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 32 | 32 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 32 | 17 | $0 |
Insurance plans in this area (ZIP 48201)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | MI | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 41 | 41 |
| PULMONARY DISEASE | MI | 95811 | Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube | 42 | 40 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | IL | |
| Internal Medicine | IL | |
| Diagnostic Radiology | WI | |
| Internal Medicine | MI | |
| Hematology/Oncology, Hospice/Palliative Care | IL | |
| Nurse Practitioner | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| O T O L A R Y N G O L O G Y | CT |
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