MICHIGAN CENTER FOR REGENERATIVE MEDICINE PLLC – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1710355482
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MICHIGAN CENTER FOR REGENERATIVE MEDICINE PLLC
355 BARCLAY CIR STE A
ROCHESTER HILLS, MI 483075816
Phone: (248) 705-3287
Fax: (855) 711-5063
Type: Location
1349 S ROCHESTER RD STE 130
ROCHESTER HILLS, MI 483073152
Phone: (248) 804-6540
Fax: (248) 841-1843
Type: Mailing
1200 N Livernois Rd
Rochester Hills, MI 483064154
Phone: (248) 259-0066
Type: Location
1349 S Rochester Rd Ste 130
Rochester Hills, MI 483073152
Phone: (248) 804-6540
Fax: (248) 841-1843
Type: Location
109 SOUTH MAIN STREET
ROCHESTER, MI 483073152
Phone: (248) 216-1008
Fax: (248) 841-1843
Type: Mailing
109 S MAIN STREET
Rochester, MI 483073152
Phone: (248) 216-1008
Fax: (855) 711-5063
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: 2017-04-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-03-31 (806 days ago).
Enrollment records
1
Earliest due date
2024-03-31
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 |
|---|---|---|---|---|
| O20170418000269 | O | Clinic/Group Practice | MI | 2024-03-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 48307)
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