DR. NADINE NORA ROUMAYA M.D.
NPI 1366706632
Obstetrics & Gynecology - Obstetrics in Novi, MI

Active since July 01, 2012PECOS EnrolledAccepts Medicare Assignment
80.53/100
CMS Quality Rating
26850 PROVIDENCE PKWY, SUITE 425, NOVI, MI 48374(248) 465-4040 Get Directions Write a Review

NPPES record last updated: July 7, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nadine Nora Roumaya M.d. NPPES

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

DR. NADINE NORA ROUMAYA M.D. (NPI 1366706632) is an individual obstetrics provider in Novi, Michigan, licensed in Michigan (4301099662) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with Ascension Providence Hospital, Southfield And Novi, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1366706632
Entity TypeIndividualFemale
Primary Taxonomy207VX0000X
Provider Legal NameDR. NADINE NORA ROUMAYACredential: M.D.
Location Address26850 PROVIDENCE PKWY, SUITE 425Novi, MI 48374-1213
Mailing Address26850 Providence Pkwy, Suite 425Novi, MI 48374-1213 · (248) 465-4040
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 1, 2012
Last NPPES UpdateJuly 7, 2015
NPI 1366706632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
License Licensed in MI · 4301099662
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
26850 PROVIDENCE PKWY, Novi, MI 48374

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Nadine Nora Roumaya M.d. 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.

PECOS PAC ID9133432495
PECOS Enrollment IDI20150716001102
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.

Areas of Expertise CMS Part B claims 2

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
34 services34 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension Providence Hospital, Southfield And Novi

Acute Care Hospitals · Southfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230019
Location16001 W Nine Mile RdSouthfield, MI 48075 · Oakland County
Emergency services Birthing friendly

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48374 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.56
Promoting Interoperability100
Improvement Activities40
Cost61.55

Reported Quality Measures

Breast Cancer Screening
87%329 patients4/55-star benchmark: 93%
Cervical Cancer Screening
95%1,359 patients4/55-star benchmark: 98%
Colorectal Cancer Screening
62%475 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
78%122 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
28%78 patients4/55-star benchmark: 91%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
80%1,478 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
62%1,799 patients5/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 83% · 1,528 patients
Patients screened: 90% · 1,528 patients
30%144 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Internal Medicine
26850 PROVIDENCE PKWY, SUITE 505
NOVI, MI 48374
Internal Medicine
26850 PROVIDENCE PKWY, SUITE 350
NOVI, MI 48374
Specialist
26850 PROVIDENCE PKWY, SUITE 125
NOVI, MI 48374
Physical Therapist
26850 PROVIDENCE PKWY
NOVI, MI 48374
Surgery
26850 PROVIDENCE PKWY, #460
NOVI, MI 48374
Family Medicine
26850 PROVIDENCE PKWY, SUITE 375
NOVI, MI 48374
Psychologist
26850 PROVIDENCE PKWY, SUITE 410
NOVI, MI 48374
Internal Medicine (Endocrinology, Diabetes & Metabolism)
26850 PROVIDENCE PKWY
NOVI, MI 48374

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 Nadine Roumaya's NPI number?

The NPI number for Nadine Roumaya is 1366706632. It was assigned to this individual provider in the NPPES registry on July 1, 2012.

Where is Nadine Roumaya located?

Nadine Roumaya practices at 26850 Providence Pkwy Suite 425, Novi, MI 48374. The listed phone number is (248) 465-4040.

What is Nadine Roumaya's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Is Nadine Roumaya enrolled in Medicare?

Yes. Nadine Roumaya 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.

What insurance does Nadine Roumaya 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 Nadine Roumaya 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 Nadine Roumaya affiliated with any hospitals?

According to CMS data, Nadine Roumaya is affiliated with Ascension Providence Hospital, Southfield And Novi and Ascension St John Hospital.

When was this NPI record last updated?

The NPPES record for Nadine Roumaya was last updated on July 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.