MICHIGAN ENDOSCOPY CENTER AT PROVIDENCE PARK
NPI 1306283957
Clinic/Center - Ambulatory Surgical in Novi, MI

Active since May 22, 2013
47601 GRAND RIVER AVE STE D-110, NOVI, MI 48374(248) 465-9220(248) 347-1915 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 4, 2025, Apr 22, 2020, Jan 7, 2020 (3 updates tracked since 2020).

About Michigan Endoscopy Center At Providence Park NPPES

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

MICHIGAN ENDOSCOPY CENTER AT PROVIDENCE PARK (NPI 1306283957) is a healthcare organization registered as an ambulatory surgical in Novi, Michigan and active in the NPI registry since May 2013. The organization lists Cristin Trahey, Administrator, as its authorized official.

NPPES Registry Identity

NPI1306283957
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMICHIGAN ENDOSCOPY CENTER AT PROVIDENCE PARK
Location Address47601 GRAND RIVER AVE STE D-110Novi, MI 48374-1233
Mailing Address47601 Grand River Ave Ste D-110Novi, MI 48374-1233 · (248) 465-9220 · Fax (248) 347-1915
Fax(248) 347-1915
Organization SubpartNo
Authorized OfficialCristin TraheyAdministrator · (248) 465-9220
Enumeration DateMay 22, 2013
Last NPPES UpdateNovember 4, 20253 updates tracked since enumeration
NPPES CertifiedNovember 4, 2025
NPI 1306283957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
47601 GRAND RIVER AVE STE D-110, Novi, MI 48374

Accepted Insurance

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
377 services374 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
338 services336 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
258 services254 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
144 services144 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
43 services43 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
33 services33 patients

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 Endoscopy Center At Providence Park's NPI number?

The NPI number for Michigan Endoscopy Center At Providence Park is 1306283957. It was assigned to this organization in the NPPES registry on May 22, 2013.

Where is Michigan Endoscopy Center At Providence Park located?

Michigan Endoscopy Center At Providence Park is located at 47601 Grand River Ave Ste D-110, Novi, MI 48374. The listed phone number is (248) 465-9220.

What is Michigan Endoscopy Center At Providence Park's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

What insurance does Michigan Endoscopy Center At Providence Park 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 and 3 other insurers list Michigan Endoscopy Center At Providence Park 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 Endoscopy Center At Providence Park was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.