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MICHIGAN SURGERY SPECIALISTS, P.C.
NPI 1184828451
Surgery in Warren, MI

Active since June 12, 2007CLIA 23D2319584 · Waiver
11012 E 13 MILE RD STE 112, WARREN, MI 48093(586) 751-3380(586) 751-0950 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 7, 2025, Nov 13, 2024, Sep 6, 2023 and 5 more (8 updates tracked since 2018).

About Michigan Surgery Specialists, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHIGAN SURGERY SPECIALISTS, P.C. (NPI 1184828451) is a healthcare organization registered as a surgery in Warren, Michigan and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through March 3, 2027, maintains 11 additional practice locations, and lists Michele L Kudlor, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1184828451
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameMICHIGAN SURGERY SPECIALISTS, P.C.
Location Address11012 E 13 MILE RD STE 112Warren, MI 48093-2546
Mailing Address31201 Chicago Rd S Ste C302Warren, MI 48093-5553 · (586) 582-0864 · Fax (586) 582-0964
Phone(586) 751-3380
Fax(586) 751-0950
Organization SubpartNo
Authorized OfficialMichele L KudlorBilling Manager · (586) 459-5592
Enumeration DateJune 12, 2007
Last NPPES UpdateOctober 7, 20258 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
✔ NPI 1184828451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X
Also ListedPlastic SurgeryTaxonomy 208200000X
Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
Also ListedSurgery · Surgery of the HandTaxonomy 2086S0105X
11012 E 13 MILE RD STE 112, Warren, MI 48093
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Secondary Practice Locations 11

Location 114650 E Old US Highway 12 Ste 302Chelsea, MI 48118-1805 · Phone (586) 582-0864 · Fax (586) 513-3807
Location 219725 Allen Rd Ste ABrownstown Twp, MI 48183-1090 · Phone (586) 751-3380
Location 322731 Newman St Ste 100ADearborn, MI 48124-2031 · Phone (313) 561-4910 · Fax (313) 561-8561
Location 437650 Professional Center DrLivonia, MI 48154-1197 · Phone (734) 943-3838
Location 511012 E 13 Mile Rd Ste 201Warren, MI 48093-2547 · Phone (586) 582-0760 · Fax (586) 582-5729
Location 611012 E 13 Mile Rd Ste 112Warren, MI 48093-2546 · Phone (585) 573-6880
Location 732300 Northwestern Hwy Ste 200Farmington Hills, MI 48334-1501 · Phone (586) 573-6880
Location 850505 Schoenherr Rd Ste 120Shelby Township, MI 48315-3140 · Phone (855) 450-2020
Location 925500 Meadowbrook Rd Ste 275Novi, MI 48375-1884 · Phone (248) 516-3519
Location 103100 Cross Creek Pkwy Ste 150Auburn Hills, MI 48326-2777 · Phone (248) 475-0502 · Fax (248) 475-0584
Location 1118245 E 10 Mile Rd Ste 130Roseville, MI 48066-5807 · Phone (586) 774-3100 · Fax (586) 774-4201

Other Identifiers 2

Other700E063760MI · Bcbs Group #
OtherOEO6376MI · Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michigan Surgery Specialists, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

22

Medicare enrollment records show 22 clinicians reassign Medicare billing to Michigan Surgery Specialists, P.C., which bills Medicare for the services they deliver. Of these, 9 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Hand Surgery10
Orthopedic Surgery6
General Surgery2
Nurse Practitioner1
Pain Management1
Plastic and Reconstructive Surgery1
Sports Medicine1

Nearest to this location (20)

See all 22
Emily Abbott, D.O., M.S.
General Surgery
NPI 1912345737
11012 E 13 MILE RD STE 112
Warren, MI 48093
(586) 751-3380
✔ PECOS✔ Accepts MedicareSame address
Jeremy Ciullo, MD
Hand Surgery
NPI 1265660062
11012 E 13 MILE RD STE 112
Warren, MI 48093
(586) 573-5880
✔ PECOS✔ Accepts MedicareSame address
Jourdan Gard, DO
Hand Surgery
NPI 1346731296
11012 E 13 MILE RD STE 112
Warren, MI 48093
(586) 573-6880
✔ PECOS✔ Accepts MedicareSame address
Edmund Grady, MD
General Surgery
NPI 1598115073
11012 E 13 MILE RD STE 112
Warren, MI 48093
(586) 573-6880
✔ PECOS✔ Accepts MedicareSame address
Peter Lasater, M.D.
Sports Medicine
NPI 1356755433
11012 E 13 MILE RD STE 112
Warren, MI 48093
(586) 573-6880
✔ PECOS✔ Accepts MedicareSame address
Mehul Mehta, M.D.
Hand Surgery
NPI 1770575763
11012 E 13 MILE RD SUITE 112
Warren, MI 48093
(586) 573-6880
✔ PECOS✔ Accepts MedicareSame address
Sabin Shah, M.D.
Orthopedic Surgery
NPI 1619363264
11012 E 13 MILE RD STE 210
Warren, MI 48093
(556) 582-0760
✔ PECOS✔ Accepts MedicareSame address
Grace Takish, FNP
Nurse Practitioner
NPI 1801627286
11012 E 13 MILE RD STE 112
Warren, MI 48093
(586) 573-6880
✔ PECOS✔ Accepts MedicareSame address
Ronald Rook, D.O.
Orthopedic Surgery
NPI 1134111032
11012 E 13 MILE RD SUITE 201
Warren, MI 48093
(586) 582-0760
✔ PECOS✔ Accepts MedicareSame address
Jeffrey Hall, M.D.
Hand Surgery
NPI 1609868496
18245 E 10 MILE RD SUITE 130
Roseville, MI 48066
(586) 774-4200
✔ PECOS✔ Accepts Medicare5.1 mi
Ara Bush, M.D.
Hand Surgery
NPI 1386959336
50505 SCHOENHERR RD STE 250
Shelby Township, MI 48315
(586) 251-2851
✔ PECOS✔ Accepts Medicare10 mi
Scott Samona, M.D.
Hand Surgery
NPI 1861736027
23405 PLYMOUTH RD
Redford, MI 48239
(313) 694-3101
✔ PECOS✔ Accepts Medicare16 mi
Alexander Colen, D.O
Orthopedic Surgery
NPI 1720490543
28050 GRAND RIVER AVE ZIEGER ADMIN & EDUC BUILDING
Farmington Hills, MI 48336
(248) 471-8822
✔ PECOS✔ Accepts Medicare16 mi
Anna Babushkina, MD
Hand Surgery
NPI 1881845808
32300 NORTHWESTERN HWY STE 200
Farmington Hills, MI 48334
(248) 574-9534
✔ PECOS✔ Accepts Medicare17 mi
Miss Hall, D.O.
Pain Management
NPI 1154582112
32300 NORTHWESTERN HWY STE 200
Farmington Hills, MI 48334
(248) 574-9534
✔ PECOS✔ Accepts Medicare17 mi
Edward Haass, D.O.
Hand Surgery
NPI 1750367058
22731 NEWMAN ST STE 100B
Dearborn, MI 48124
(313) 791-0616
✔ PECOS✔ Accepts Medicare19 mi
Richard Singer, M.D.
Hand Surgery
NPI 1669464434
22731 NEWMAN ST SUITE 100A
Dearborn, MI 48124
(313) 561-4910
✔ PECOS✔ Accepts Medicare19 mi
Andres Munk, M.D.
Orthopedic Surgery
NPI 1124068754
36622 FIVE MILE RD
Livonia, MI 48154
(734) 542-0200
✔ PECOS✔ Accepts Medicare22 mi
John Gorski, M.D.
Plastic and Reconstructive Surgery
NPI 1194088088
25500 MEADOWBROOK RD STE 275
Novi, MI 48375
(248) 516-3519
✔ PECOS✔ Accepts Medicare23 mi
Andrew Moore, MD
Orthopedic Surgery
NPI 1437374931
14650 E. OLD US HWY 12 SUITE 105
Chelsea, MI 48118
(734) 593-5700
✔ PECOS✔ Accepts Medicare53 mi
See all 22 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2319584

Michigan Surgery Specialists, PC · Farmington Hills, MI
Active · expires Mar 3, 2027
CLIA Number23D2319584
Laboratory TypePhysician Office
Certificate Effective DateMarch 4, 2025
Certificate Expiration DateMarch 3, 2027
Laboratory DirectorMehul M. Mehta
Laboratory Phone(586) 459-5612
Laboratory LocationMichigan Surgery Specialists, PC32300 Northwestern Highway Suite 200, Farmington Hills, MI 48334
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michigan Surgery Specialists, P.C.'s NPI number?

The NPI number for Michigan Surgery Specialists, P.C. is 1184828451. It was assigned to this organization in the NPPES registry on June 12, 2007.

Where is Michigan Surgery Specialists, P.C. located?

Michigan Surgery Specialists, P.C. is located at 11012 E 13 Mile Rd Ste 112, Warren, MI 48093. The listed phone number is (586) 751-3380.

What is Michigan Surgery Specialists, P.C.'s specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Michigan Surgery Specialists, P.C. enrolled in Medicare?

Yes. Michigan Surgery Specialists, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Michigan Surgery Specialists, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 7 Medicare specialties reassign their Medicare billing to Michigan Surgery Specialists, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Hand Surgery (10), Orthopedic Surgery (6) and General Surgery (2). Of these, 9 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Michigan Surgery Specialists, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2319584) is associated with this NPI, valid through March 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Michigan Surgery Specialists, P.C. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Michigan Surgery Specialists, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michigan Surgery Specialists, P.C. was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.