AMAPURI DEGUIA – Geriatric Medicine (Internal Medicine) Physician, NPI 1780643601

Geriatric Medicine (Internal Medicine) Physician

AMAPURI DEGUIA is a healthcare provider. based in Royal oak, Michigan. specializing in Geriatric Medicine (Internal Medicine) Physician. They hold a License No. 4301072808 (MI). The NPI Number for AMAPURI DEGUIA is 1780643601

Main info

Male

31 Years Of Experience

Accepts Medicare Assignment

Name

AMAPURI DEGUIA

NPI

1780643601

Phone

Not provided

Address

3601 W 13 MILE RD

Enumeration Date

20 March 2006

Last Update Date

21 October 2020

Doctor Profile

Medical School Name

OTHER

Secondary Phone

Graduation Year

1995 (31 years ago)

PAC ID

9931117272

Group Practice PAC ID

9335051093

Professional Enrollment ID

I20060329000283

Contacts

Secure Messaging

adeguia11945@direct.beaumont.edu

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience64

Completeness85

Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for AMAPURI DEGUIA

Beaumont Hospital - Royal Oak, 3601, West 13 Mile Road, Royal Oak, Oakland County, Michigan, 48073, United States
400-FSC/PCS
ROYAL OAK, MI 480736712
Phone:
Type: Mailing
12 Mile Road, Berkley, Oakland County, Michigan, 48072, United States
BERKLEY, MI 480721868
Phone: (248) 551-1756
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: 2006-03-29

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

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
I20060329000283	I	Geriatric Medicine	MI	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.

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 48073)

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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: 9335051093View full group profile

Name	Specialty	State
DR. MAHER RABAH (DO)	Interventional Cardiology, Cardiovascular Disease (Cardiology)	MI
KENNETH JACKSON (PA-C)	-	MI
TAMMIE NALLAMOTHU (CRNA)	-	MI
SUSAN KAY (CRNA)	-	MI
Unknown Individual	-	MI
CHRISTOPHER BOWEN (DO)	O B S T E T R I C S/ G Y N E C O L O G Y	MI
FLORENCE ACOSTA (CRNA)	-	MI
DR. ROBERT STEWART ROBERTSON (MD)	-	MI
CHERYL GIBSON FOUNTAIN (M.D.)	-	MI
JENNIFER HUNG-WEN PENG (M.D.)	O B S T E T R I C S/ G Y N E C O L O G Y	MI