MICHIGAN SURGERY SPECIALISTS P.C.
NPI 1164411278
Clinic/Center - Occupational Medicine in Warren, MI

NPI Status: Active since October 20, 2005

Contact Information

11012 E 13 MILE RD STE 200
WARREN, MI
ZIP 48093
Phone: (586) 573-8890
Fax: (586) 573-2706

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  • Organization
  • Clinic/Center
  • Occupational Medicine
  • Accepts Insurance
  • Medicare Supplier
  • Accepts Medicare Approved Payment
  • CLIA Number: 23D2319584
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-03-2027

About MICHIGAN SURGERY SPECIALISTS P.C.

This page provides the complete NPI Profile along with additional information for Michigan Surgery Specialists P.c., a provider established in Warren, Michigan operating as a Clinic/center, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1164411278 assigned on October 2005. The practitioner's primary taxonomy code is 261QX0100X. The provider is registered as an organization and their NPI record was last updated February 2026. The provider's . The authorized official of this NPI record is Michele L Kudlor (Billing Manager)

NPI
1164411278
Provider Legal Name
MICHIGAN SURGERY SPECIALISTS P.C.
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
11012 E 13 MILE RD STE 200 WARREN, MI 48093
Location Phone
(586) 573-8890
Location Fax
(586) 573-2706
Mailing Address
31201 CHICAGO RD S STE C302 WARREN, MI 48093
Mailing Phone
(586) 558-9705
Mailing Fax
(586) 573-2706
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-20-2005
Last Update Date
02-09-2026
Code Navigator



Michigan Surgery Specialists P.c. is a medicare supplier with PTAN 20669981 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Heat & Cold Applications or Neuromuscular Elect Stimulators (NMES)/Supplies or Osteogenesis Stimulators or (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies or Canes and/or Crutches or Walkers or Wheelchairs (Standard Manual) or Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Enteral Equipment and/or Supplies or Diabetic Shoes/Inserts - Custom.

Location Map

Secondary Locations

  • 37650 Professional Center Dr Ste 105A
    Livonia, MI 48154
    (734) 943-3838
  • 18245 E 10 Mile Rd Ste 130
    Roseville, MI 48066
    (586) 774-3100
  • 22731 Newman St Ste 100B
    Dearborn, MI 48124
    (313) 791-0616
  • 25500Meadowbrook Suite 275
    Novi, MI 48375
    (586) 558-9705
  • 14650 E Old US Hwy 12 Ste 302
    Chelsea, MI 48118
    (248) 516-3519
  • 3100 Cross Creek Pkwy Ste 150
    Auburn Hills, MI 48326
    (248) 475-0565
  • 50505 Schoenherr Rd
    Shelby Twp, MI 48315
    (586) 649-8853
  • 32300 Northwestern Hwy Ste 200
    Farmington Hills, MI 48334
    (586) 573-6880

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Occupational Medicine

Taxonomy Code
261QX0100X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

 
2261QP2000XAmbulatory Health Care Facilities

Clinic/Center
Physical Therapy

 
3332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 
4335E00000XSuppliers

Prosthetic/Orthotic Supplier

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Blue Cross� Local HMO Bronze Extra - HMO
  • Blue Cross� Local HMO Bronze Secure - HMO
  • Blue Cross� Local HMO Silver Extra - HMO
  • Blue Cross� Local HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Select HMO Bronze Saver HSA - HMO
  • Blue Cross� Select HMO Bronze Secure - HMO
  • Blue Cross� Select HMO Silver - HMO
  • Blue Cross� Select HMO Silver Extra - HMO
  • Blue Cross� Select HMO Silver Saver - HMO
  • Blue Cross� Select HMO Value - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO
  • MHP Bronze - HMO
  • MHP Bronze Saver (Expanded) - HMO
  • MHP Expanded Bronze Standard - HMO
  • MHP Gold - HMO
  • MHP Gold Standard - HMO
  • MHP Silver Exchange - HMO
  • MHP Silver Exchange Rewards - HMO
  • MHP Silver Standard - HMO
  • MHP Young Adult/Catastrophic - HMO
  • MyPriority Balanced Silver - HMO
  • MyPriority Balanced Silver Southeast Michigan Network - HMO
  • MyPriority Balanced Silver Trinity Health East Network - HMO
  • MyPriority Enhanced Gold Southeast Michigan Network - HMO
  • MyPriority Enhanced Gold Trinity Health East Network - HMO
  • MyPriority Premier Silver - HMO
  • MyPriority Premier Silver Trinity Health East Network - HMO
  • MyPriority Standard Bronze - HMO
  • MyPriority Standard Bronze - Southeast Michigan Network - HMO
  • MyPriority Standard Bronze - Travel - HMO
  • MyPriority Standard Bronze - Trinity Health East Network - HMO
  • MyPriority Standard Gold - HMO
  • MyPriority Standard Gold Southeast Michigan Network - HMO
  • MyPriority Standard Gold Trinity Health East Network - HMO
  • MyPriority Standard Silver - HMO
  • MyPriority Standard Silver - Southeast Michigan Network - HMO
  • MyPriority Standard Silver - Travel - HMO
  • MyPriority Standard Silver - Trinity Health East Network - HMO
  • MyPriority Value Bronze - HMO
  • MyPriority Value Bronze HSA - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHELE L KUDLOR

Authorized Official Title
BILLING MANAGER
Authorized Official Phone
(586) 558-9705

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
236575OTHER (01)MIMEDICARE
1164411278MEDICAID (05)MI 
30697OTHER (01)MIBLUE CROSS

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20669981
Accepts Medicare Assignment
YES
Specialities List
Orthotic Personnel.
Provider Type List
MULTI-SPECIALTY - PHYSICIAN.
Competitive Bidding
NO

Supplies List

  • Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
  • Neuromuscular Elect Stimulators (NMES)/Supplies - Electrodes, lead wires, adhesive tape
  • Osteogenesis Stimulators - Non-spinal electrical osteogenesis stimulators, Spinal electrical osteogenesis stimulators, Ultrasonic osteogenesis stimulators
  • (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies - Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Wheelchairs (Standard Manual) - Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
  • Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
  • Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D2319584
Facility Type
Physician Office
Certificate Effective Date
March 04, 2025
Certificate Expiration Date
March 03, 2027
Laboratory Director
MEHUL M. MEHTA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Michigan Surgery Specialists P.c. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1164411278, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
1
Unchanged
Pos 7
1
Doubled → 2
Pos 8
2
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 1 → 2 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 8 + 1 + 2 + 2 + 1 + 4 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1164411278.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Prosthetic/Orthotic Supplier
11012 E 13 MILE RD STE 200
WARREN, MI 48093
Occupational Therapist
11012 E 13 MILE RD STE 200
WARREN, MI 48093
Occupational Therapist
11012 E 13 MILE RD STE 200
WARREN, MI 48093
Occupational Therapist
11012 E 13 MILE RD STE 200
WARREN, MI 48093
Physical Therapist
11012 E 13 MILE RD STE 200
WARREN, MI 48093
Occupational Therapist
11012 E 13 MILE RD STE 200
WARREN, MI 48093

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164411278, enumerated as an "organization" on October 20, 2005.

The provider is located at 11012 E 13 MILE RD STE 200 WARREN, MI 48093 and the phone number is (586) 573-8890.

Clinic/Center with taxonomy code 261QX0100X and a focus in Occupational Medicine.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.