NICHOLE URBAN (MD) – Surgery Physician, NPI 1417157991

NICHOLE URBAN (MD) is a healthcare provider. based in Rochester hills, Michigan. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 4301090054 (MI). The NPI Number for NICHOLE URBAN (MD) is 1417157991

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLE URBAN (MD)
NPI
1417157991
Phone
(248) 853-3100
Address
1701 SOUTH BLVD E
Enumeration Date
23 July 2007
Last Update Date
21 August 2013

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2488533100
Graduation Year
2007 (19 years ago)
PAC ID
3577702620
Group Practice PAC ID
2264331800
Professional Enrollment ID
I20130620000497
Address ID
MI483076116RO1701XEXXX407
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,444 GENERAL SURGERY in MI

Provider Addresses for NICHOLE URBAN (MD)

  • 1701 SOUTH BLVD E

    SUITE 270

    ROCHESTER HILLS, MI 483076122

    Phone: (248) 853-3100

    Fax: (248) 853-4300

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $572.

Total Amount is formed as General ($572) + Research ($0) + Ownership ($0) = $572.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($275).

Total Amount

$572

General + Research + Ownership

Payments

16

Total payment records

General Amount

$572

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2013-06-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130620000497IGeneral SurgeryMITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes14681$0
99212Established patient office or other outpatient visit, 10-19 minutes9438$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8075$0
11042Removal of skin and tissue, 20.0 sq cm or less4117$0
99204New patient office or other outpatient visit, 45-59 minutes3838$0
View full utilization report →

Insurance plans in this area (ZIP 48307)

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Provider's Procedures

NICHOLE URBAN (MD) performs procedures in GENERAL SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYMI11042Removal of skin and tissue first 20 sq cm or less1813

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264331800View full group profile
NameSpecialtyState
General SurgeryMI
General SurgeryMI
General SurgeryMI
General SurgeryMI
-MI

Reviews

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Frequently asked questions

What is the 10-digit NPI for NICHOLE URBAN (MD)?
NICHOLE URBAN (MD) — NPI 1417157991 — is the standard way to identify this listing.
Is NICHOLE URBAN (MD) listed as active for patients and plans?
The listing shows NICHOLE URBAN (MD) as active in the NPI system.
What is NICHOLE URBAN (MD)'s specialty?
The listing groups NICHOLE URBAN (MD) with Surgery Physician. Clinical services aligned with this taxonomy classification.
Where should I expect NICHOLE URBAN (MD) on a map?
Expect Rochester Hills, Michigan as a primary anchor for NICHOLE URBAN (MD) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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