MICHIGAN SURGERY SPECIALISTS, P.C. – NPI #1316939952
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

MICHIGAN SURGERY SPECIALISTS, P.C. is a radiologist located in WARREN, MI. NPPES has assigned the NPI number 1316939952 to MICHIGAN SURGERY SPECIALISTS, P.C. on August 19, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was last updated on Mar 26, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICHIGAN SURGERY SPECIALISTS, P.C. below.

NPI Profile for
MICHIGAN SURGERY SPECIALISTS, P.C.

NPI Number
1316939952
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MICHIGAN SURGERY SPECIALISTS, P.C.
Primary location
11012 THIRTEEN MILE ROAD
SUITE 111
WARREN, MI 48093
Phone: (586) 558-8470 Fax: (586) 558-8481
Mailing address
31201 CHICAGO RD S STE C302
WARREN, MI 48093-5553
Phone: (586) 582-0864 Fax: (586) 582-0964
Organization Subpart
Yes - MICHIGAN SURGERY SPECIALISTS, P.C. is subpart of another organization.
Authorized Official
MICHELE KUDLOR
BILLING MANAGER
Phone: (586) 459-5592
Updated
Certification Date
Mar 26, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MICHIGAN SURGERY SPECIALISTS, P.C.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBCBS PIN NUMBERMI300E017160
otherRADIATION MACHINE REGISTR53317
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
MI 4301046061
2471C3401X
- Radiologic Technologist / Computed Tomography Radiologic Technologist
MI 4301046061

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.