Novi Providence Park Orthopaedic Center – Orthopaedic Surgery Physician, NPI 1902101520

Novi Providence Park Orthopaedic Center is a healthcare provider. based in Carol stream, Illinois. specializing in Orthopaedic Surgery Physician. The NPI Number for Novi Providence Park Orthopaedic Center is 1902101520

Main info

Organization
Name
Novi Providence Park Orthopaedic Center
NPI
1902101520
Phone
(810) 720-5715
Address
4675 DEPARTMENT
Authorized Official
BETTY DAVENPORT OPERATIONS MANAGER
Enumeration Date
12 January 2011
Last Update Date
12 January 2011
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness80
Years active:15State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Novi Providence Park Orthopaedic Center

  • 4675 DEPARTMENT

    CAROL STREAM, IL 601220021

    Phone: (810) 720-5715

    Fax: (810) 732-0891

    Type: Mailing

  • 26750 PROVIDENCE PKWY

    SUITE 210

    NOVI, MI 483741211

    Phone: (313) 745-5227

    Fax: (313) 745-5596

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 60122)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to Novi Providence Park Orthopaedic Center?
NPI 1902101520 is assigned to Novi Providence Park Orthopaedic Center under the national enumeration system.
Is Novi Providence Park Orthopaedic Center's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is Novi Providence Park Orthopaedic Center?
The page reflects Orthopaedic Surgery Physician for Novi Providence Park Orthopaedic Center. Clinical services aligned with this taxonomy classification.
Does Novi Providence Park Orthopaedic Center practice in Illinois?
You will see Carol Stream, Illinois on file for Novi Providence Park Orthopaedic Center alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

Similar Providers

KEITH L KOMNICK (M.D.)

Orthopaedic Surgery Physician
East Golf Road, Des Plaines, Cook County, Illinois, 60025, United States
NPI: 1013913615

DR. RICHARD E. ERICKSON (M.D.)

Orthopaedic Surgery Physician
327, Gundersen Drive, Gretna, Carol Stream, DuPage County, Illinois, 60188, United States
NPI: 1023019643

DR. KELLEN K. CHOI (M.D.)

Orthopaedic Surgery Physician
327, Gundersen Drive, Gretna, Carol Stream, DuPage County, Illinois, 60188, United States
NPI: 1164423786

DR. STEPHEN A. BAKER (M.D.)

Orthopaedic Surgery Physician
327, Gundersen Drive, Gretna, Carol Stream, DuPage County, Illinois, 60188, United States
NPI: 1316948938

THEODORE J. SUCHY (DO)

Orthopaedic Surgery Physician
630 E North Ave
NPI: 1568410546

SANJAY KIRIT PATARI (MD)

Orthopaedic Surgery Physician
630 E North Ave
NPI: 1083662068

NORTHERN OHIO MEDICAL SPECIALISTS LLC

Internal Medicine Physician
PO BOX 378
NPI: 1225085855

CLAYTON AUSTIN PEIMER (M.D.)

Orthopaedic Hand Surgery Physician
Carol Stream Police Department, Hiawatha Drive, Carol Stream, DuPage County, Illinois, 60188, United States
NPI: 1285655753
5777 DEPARTMENT
NPI: 1477897833