MICHIGAN INSTITUTE OF UROLOGY PC – NPI #1619748191
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

MICHIGAN INSTITUTE OF UROLOGY PC is an urologist located in WYOMING, MI. NPPES has assigned the NPI number 1619748191 to MICHIGAN INSTITUTE OF UROLOGY PC on January 12, 2024. 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 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was last updated on Jan 14, 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 INSTITUTE OF UROLOGY PC below.

NPI Profile for
MICHIGAN INSTITUTE OF UROLOGY PC

NPI Number
1619748191
Enumeration Date

(more than 2 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 INSTITUTE OF UROLOGY PC
Primary location
2093 HEALTH DR SW STE 202
WYOMING, MI 49519-9691
Phone: (586) 771-4820 Fax:
Mailing address
20952 E 12 MILE RD STE 200
SAINT CLAIR SHORES, MI 48081-3203
Phone: (586) 771-4820 Fax:
Organization Subpart
No
Authorized Official
TRACY MCAULEY
CREDENTIALING SPECIALIST
Phone: (586) 771-4820
Updated
Certification Date
Jan 14, 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.

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
208800000X
- Urology (Primary)
332B00000X
- Durable Medical Equipment & Medical Supplies

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.1066.1
Content Type
CSV
Affiliation
Y
Endpoint Location
8215 W 108TH TER,
OVERLAND PARK, KS 77025-1669