The CORE Institute – Orthopaedic Surgery Physician, NPI 1306818331
Orthopaedic Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for The CORE Institute
22250 Providence Dr Ste 401
Southfield, MI 480756212
Phone: (866) 974-2683
Fax: (866) 939-2673
Type: Location
26750 Providence Pkwy Ste 240
Novi, MI 483741211
Phone: (866) 974-2673
Fax: (866) 939-2673
Type: Location
14800 Farmington Rd Ste 103
Livonia, MI 481545464
Phone: (866) 974-2673
Fax: (866) 939-2673
Type: Location
22250 Providence Dr Ste 405
Southfield, MI 480756212
Phone: (866) 974-2673
Fax: (866) 939-2673
Type: Location
8273 Grand River Rd Ste 210
Brighton, MI 481149346
Phone: (866) 974-2673
Fax: (866) 939-2673
Type: Location
North 25th Avenue, Lake Biltmore Estates, Phoenix, Maricopa County, Arizona, 85051-3424, United States
STE 310
PHOENIX, AZ 850231261
Phone: (866) 974-2673
Fax: (866) 939-2673
Type: Mailing
26750 PROVIDENCE PKWY STE 200
NOVI, MI 483741212
Phone: (866) 974-2673
Fax: (866) 939-2673
Type: Location
Providence Drive, Southfield, Oakland County, Michigan, 48075, United States
SUITE 401
SOUTHFIELD, MI 480754825
Phone: (866) 974-2683
Fax: (866) 939-2673
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: 2007-09-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20070911000839 | O | Clinic/Group Practice | 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.
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 48075)
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