ANDRE NOUMI – Internal Medicine Physician, NPI 1710369210

ANDRE NOUMI is a healthcare provider. based in Grand blanc, Michigan. specializing in INTERNAL MEDICINE. They hold a License No. 4301502574 (MI). The NPI Number for ANDRE NOUMI is 1710369210

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
ANDRE NOUMI
NPI
1710369210
Phone
(248) 691-8646
Address
12745 S SAGINAW ST # 806-196
Enumeration Date
22 June 2015
Last Update Date
22 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4192911111
Graduation Year
2014 (12 years ago)
PAC ID
2365751369
Group Practice PAC ID
7113182809
Professional Enrollment ID
I20220405001638
Address ID
OH436063895TO2142XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

7,218 INTERNAL MEDICINE in MI

Provider Addresses for ANDRE NOUMI

  • 12745 S SAGINAW ST # 806-196

    GRAND BLANC, MI 484392437

    Phone: (248) 691-8646

    Type: Mailing

  • 3601 W 13 MILE RD

    ROYAL OAK, MI 480736712

    Phone: (248) 691-8646

    Type: Location

  • 2701 17TH ST

    ROCK ISLAND, IL 612015351

    Phone: (309) 779-3101

    Fax: (309) 779-3105

    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 $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-12

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: 2022-04-05

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
I20220405001638IInternal MedicineOHTBD

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 minutes304140$0
99239Hospital discharge day management, more than 30 minutes8181$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5041$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3222$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3232$0
View full utilization report →

Insurance plans in this area (ZIP 48439)

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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: 7113182809View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
Vascular SurgeryOH
Internal MedicineOH
Vascular SurgeryOH
Nurse PractitionerOH
N E U R O L O G YOH
Nurse PractitionerOH
E N D O C R I N O L O G YSD
Pulmonary Disease, Critical Care (Intensivists)OH

Reviews

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Frequently asked questions

What identifier follows ANDRE NOUMI across health systems?
The NPI 1710369210 uniquely identifies ANDRE NOUMI in U.S. healthcare data.
Quick check: is ANDRE NOUMI active?
Public NPPES data shows ANDRE NOUMI with an active NPI status right now.
How should patients interpret ANDRE NOUMI's specialty?
The extract shows Internal Medicine Physician for ANDRE NOUMI. Clinical services aligned with this taxonomy classification.
Is ANDRE NOUMI tied to Grand Blanc, Michigan?
If you are local to Grand Blanc, Michigan, ANDRE NOUMI may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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