DR. TINA KOESTER (D.O.) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1669413761

DR. TINA KOESTER (D.O.) is a healthcare provider. based in Northville, Michigan. specializing in Emergency Medical Services (Emergency Medicine) Physician. They hold the professional credentials D.O.. They hold a License No. 5101009658 (MI). The NPI Number for DR. TINA KOESTER (D.O.) is 1669413761

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. TINA KOESTER (D.O.)
NPI
1669413761
Phone
Not provided
Address
18810 BECK RD
Enumeration Date
9 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
2488493331
Graduation Year
1986 (40 years ago)
PAC ID
4082526611
Group Practice PAC ID
6709798325
Professional Enrollment ID
I20100723000822
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. TINA KOESTER (D.O.)

  • 18810, Beck Road, Northville Charter Township, Wayne County, Michigan, 48168, United States

    NORTHVILLE, MI 481689222

    Phone:

    Type: Mailing

  • Ascension Providence Hospital, Southfield Campus, 16001, West 9 Mile Road, Southfield, Oakland County, Michigan, 48075, United States

    SOUTHFIELD, MI 480754818

    Phone: (248) 849-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-07-23

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
I20100723000822IEmergency MedicineMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48168)

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Provider's Procedures

DR. TINA KOESTER (D.O.) performs procedures in Emergency Medical Services (Emergency Medicine) Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINEMI93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report313295

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: 6709798325View full group profile
NameSpecialtyState
Emergency MedicineMI
Emergency MedicineMI
-MI
Nurse PractitionerMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineMI
Emergency MedicineOH
Emergency MedicineMI
Physician AssistantMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. TINA KOESTER (D.O.)?
DR. TINA KOESTER (D.O.) — NPI 1669413761 — is the standard way to identify this listing.
Is DR. TINA KOESTER (D.O.) listed as active for patients and plans?
The listing shows DR. TINA KOESTER (D.O.) as active in the NPI system.
What is DR. TINA KOESTER (D.O.)'s specialty?
The listing groups DR. TINA KOESTER (D.O.) with Emergency Medical Services (Emergency Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where is DR. TINA KOESTER (D.O.) based?
DR. TINA KOESTER (D.O.) is tied to Northville, Michigan in the data we show; additional addresses may exist on the full record.
Is the information about DR. TINA KOESTER (D.O.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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