Unknown Individual – Family Medicine Physician, NPI 1790722338
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1560, East Maple Road, Troy, Oakland County, Michigan, 48083, United States
SUITE 400-CREDENTIALING
TROY, MI 480831138
Phone: (248) 650-6301
Fax: (248) 650-5486
Type: Mailing
West University Drive, Rochester, Oakland County, Michigan, 48307, United States
STE 250
ROCHESTER, MI 483071886
Phone: (248) 650-6301
Fax: (248) 650-5486
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 46 | 37 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 21 | 20 | $0 |
Insurance plans in this area (ZIP 48083)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| Thoracic Surgery | MI | |
| - | MI | |
| Orthopedic Surgery | MI | |
| Family Practice | MI | |
| Family Practice | MI | |
| Internal Medicine | MI | |
| - | MI | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| General Practice | MI |
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