OLIVIA ROSE SOUPHIS MD
NPI 1356961361
Family Medicine in Royal Oak, MI
About Olivia Rose Souphis Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLIVIA ROSE SOUPHIS MD (NPI 1356961361) is an individual family medicine provider in Royal Oak, Michigan, licensed in Michigan (4301509134) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and is a graduate of Central Michigan College Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Olivia Rose Souphis Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Olivia Souphis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dearborn, MI 48124
- Reassigned Medicare billing, Michigan enrollment
- 453 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Beaumont Hospital Royal Oak
Acute Care Hospitals · Royal Oak, MIBeaumont Hospital, Troy
Acute Care Hospitals · Troy, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48067 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Olivia Souphis's NPI number?
The NPI number for Olivia Souphis is 1356961361. It was assigned to this individual provider in the NPPES registry on April 20, 2020.
Where is Olivia Souphis located?
Olivia Souphis practices at 309 E 11 Mile Rd, Royal Oak, MI 48067. The listed phone number is (947) 522-4900.
What is Olivia Souphis's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Olivia Souphis enrolled in Medicare?
Yes. Olivia Souphis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Olivia Souphis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Olivia Souphis reassigns Medicare benefits to Oakwood Ambulatory LLC (Dearborn, MI). The 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 Olivia Souphis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Olivia Souphis 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 2 other insurers list Olivia Souphis 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.
Is Olivia Souphis affiliated with any hospitals?
According to CMS data, Olivia Souphis is affiliated with Beaumont Hospital Royal Oak and Beaumont Hospital, Troy.
When was this NPI record last updated?
The NPPES record for Olivia Souphis was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Olivia Rose Souphis, MD · NPI 1356961361
Family Medicine physician in Royal Oak, Michigan. Individual provider, active in the CMS NPPES registry since April 20, 2020.
## Identity
- **NPI:** 1356961361 (Entity type: Individual)
- **Enumerated:** April 20, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 4301509134 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 309 E 11 MILE RD, Royal Oak, MI 48067-2735
- **Phone:** (947) 522-4900
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Oakwood Ambulatory LLC (NPI 1003829441, Dearborn, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Central Michigan College Of Medicine, class of 2020
## Record status
- **NPPES last updated:** August 17, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1356961361) · Data from the CMS NPPES public registry.