SOUTH OAKLAND GASTROENTEROLOGY ASSOCIATES PC – Gastroenterology Physician, NPI 1316919616
Gastroenterology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SOUTH OAKLAND GASTROENTEROLOGY ASSOCIATES PC
PO BOX 72737
CLEVELAND, OH 441920002
Phone: (248) 579-9220
Fax: (248) 426-7350
Type: Mailing
23133 ORCHARD LAKE RD STE 200
FARMINGTON, MI 483363279
Phone: (248) 579-9220
Fax: (248) 426-7350
Type: Location
Detroit Police Department HQ, 1301, 3rd Street, Midtown, Detroit, Wayne County, Michigan, 48226, United States
P O BOX 67000
DETROIT, MI 482670001
Phone: (248) 471-8982
Fax: (248) 471-9978
Type: Mailing
Grand River Avenue, Farmington Hills, Oakland County, Michigan, 48336, United States
SUITE 306
FARMINGTON HILLS, MI 483365966
Phone: (248) 471-8982
Fax: (248) 471-9978
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: 2005-06-27
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 |
|---|---|---|---|---|
| O20050627000354 | 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 44192)
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