DR. THEODOOR WILLEM ROVERTS JR. MD
NPI 1306424338
Student in an Organized Health Care Education/Training Program in Grand Blanc, MI

Q: What is Theodoor Roverts's NPI number?

The NPI number for Theodoor Roverts is 1306424338. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Q: What is Theodoor Roverts's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Theodoor Roverts was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since March 31, 2021PECOS Enrolled

1 GENESYS PKWY, GRAND BLANC, MI 48439(810) 606-5000 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 25, 2024, Mar 31, 2021 (2 updates tracked since 2021).

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About Dr. Theodoor Willem Roverts Jr. Md NPPES

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

DR. THEODOOR WILLEM ROVERTS JR. MD (NPI 1306424338) is an individual student in an organized health care education/training program in Grand Blanc, Michigan and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306424338

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. THEODOOR WILLEM ROVERTS JR.Credential: MD

Location Address1 GENESYS PKWYGrand Blanc, MI 48439-8065

Mailing Address1 Genesys PkwyGrand Blanc, MI 48439-8065 · (810) 606-5000

Phone(810) 606-5000

Sole ProprietorYes

Enumeration DateMarch 31, 2021

Last NPPES UpdateJune 25, 20242 updates tracked since enumeration

NPPES CertifiedJune 25, 2024

✔ NPI 1306424338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1 GENESYS PKWY, Grand Blanc, MI 48439

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Theodoor Willem Roverts Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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