ASSOCIATED ORTHOPEDISTS OF DETROIT, PC – Orthopaedic Surgery Physician, NPI 1669653606

ASSOCIATED ORTHOPEDISTS OF DETROIT, PC is a healthcare provider. based in Shelby township, Michigan. specializing in Orthopaedic Surgery Physician. The NPI Number for ASSOCIATED ORTHOPEDISTS OF DETROIT, PC is 1669653606

Main info

Organization
Name
ASSOCIATED ORTHOPEDISTS OF DETROIT, PC
NPI
1669653606
Phone
(586) 412-1411
Address
50505 SCHOENHERR RD
Authorized Official
JAMIE JOHNSON CREDENTIALING MANAGER
Enumeration Date
19 November 2007
Last Update Date
22 May 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:18State licenses:0Digital endpointsOther names

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Provider Addresses for ASSOCIATED ORTHOPEDISTS OF DETROIT, PC

  • 50505, Schoenherr Road, Shelby Charter Township, Macomb County, Michigan, 48315, United States

    SUITE 120

    SHELBY TOWNSHIP, MI 483153140

    Phone: (586) 412-1411

    Fax: (586) 412-4626

    Mailing address matches the actual address.

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: 2010-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation scheduled

Earliest CMS due date is 2026-09-30 (112 days away).

Enrollment records

1

Earliest due date

2026-09-30

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
O20100930006817OPhysician - Orthopedic/Orthopedic SurgeryMI2026-09-30

What to do next

  • Monitor the published due date as it approaches.
  • Plan to revalidate in PECOS within the window CMS allows before the due date.
  • Verify the date on the CMS Revalidation Lookup Tool before submitting.

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 48315)

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Reviews

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Frequently asked questions

What federal number belongs to ASSOCIATED ORTHOPEDISTS OF DETROIT, PC?
The federal identifier for ASSOCIATED ORTHOPEDISTS OF DETROIT, PC is NPI 1669653606.
Is ASSOCIATED ORTHOPEDISTS OF DETROIT, PC's NPI currently valid?
The extract we use shows ASSOCIATED ORTHOPEDISTS OF DETROIT, PC as active.
What field does ASSOCIATED ORTHOPEDISTS OF DETROIT, PC work in?
You can think of ASSOCIATED ORTHOPEDISTS OF DETROIT, PC as practicing within Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for ASSOCIATED ORTHOPEDISTS OF DETROIT, PC?
The page summarizes Shelby Township, Michigan for ASSOCIATED ORTHOPEDISTS OF DETROIT, PC; expand the address list for detail.
How can I contact ASSOCIATED ORTHOPEDISTS OF DETROIT, PC?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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