Surgeons Choice Macomb Center – Ambulatory Surgical Clinic/Center, NPI 1619969540

Surgeons Choice Macomb Center is a healthcare provider. based in Detroit, Michigan. specializing in Ambulatory Surgical Clinic/Center. The organization holds a License No. 506840 (MI). The NPI Number for Surgeons Choice Macomb Center is 1619969540

Main info

Organization
Name
Surgeons Choice Macomb Center
NPI
1619969540
Phone
(586) 582-0864
Address
PO BOX 674073
Authorized Official
RONDA SELEY MEDICAL STAFF COORDINATOR
Enumeration Date
17 August 2005
Deactivation Date
4 June 2008
Reactivation Date
8 September 2008
Last Update Date
13 February 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness90
Years active:20State licenses:1Digital endpoints

Provider Addresses for Surgeons Choice Macomb Center

  • PO BOX 674073

    DETROIT, MI 482674073

    Phone: (586) 582-0864

    Fax: (586) 576-0393

    Type: Mailing

  • 11012 THIRTEEN MILE ROAD

    SUITE 112A

    WARREN, MI 480932546

    Phone: (586) 751-9800

    Fax: (586) 751-9818

    Type: Location

  • 22401 FOSTER WINTER DR

    SOUTHFIELD, MI 480753724

    Phone: (248) 423-5100

    Fax: (248) 423-5199

    Type: Mailing

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.

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
O20060414000038OClinic/Group PracticeMITBD

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 48267)

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Reviews

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Frequently asked questions

Can I verify Surgeons Choice Macomb Center with an NPI only?
You can start verification with NPI 1619969540 for Surgeons Choice Macomb Center, then check state licensing separately.
Does CMS list Surgeons Choice Macomb Center as active?
Yes — Surgeons Choice Macomb Center is active in the NPI listing used on this page.
What taxonomy line describes Surgeons Choice Macomb Center?
For research purposes, treat Surgeons Choice Macomb Center as Ambulatory Surgical Clinic/Center in this dataset. Clinical services aligned with this taxonomy classification.
What area does Surgeons Choice Macomb Center serve?
Surgeons Choice Macomb Center's listing highlights Detroit, Michigan; more addresses can appear in NPPES.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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