DR. NADINE NORA ROUMAYA M.D.
NPI 1366706632
Obstetrics & Gynecology - Obstetrics in Novi, MI
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
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Nadine Roumaya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Southfield, MI 48075
- Reassigned Medicare billing, Michigan enrollment
- 393 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 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.
Hospital Affiliations CMS Care Compare 3
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, MIHenry Ford Health Hospital
Acute Care Hospitals · Detroit, MIAscension St John Hospital
Acute Care Hospitals · Detroit, MIPhysician 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.
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.
Reported Quality Measures
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.
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.
Which organization bills Medicare for Nadine Roumaya's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nadine Roumaya reassigns Medicare benefits to Henry Ford Health Providence Hospital (Southfield, 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 Nadine Roumaya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 1 other insurer 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, Henry Ford Health Hospital 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.
# Dr. Nadine Nora Roumaya, M.D. · NPI 1366706632
Obstetrics physician in Novi, Michigan. Individual provider, active in the CMS NPPES registry since July 1, 2012.
## Identity
- **NPI:** 1366706632 (Entity type: Individual)
- **Enumerated:** July 1, 2012
- **Primary specialty:** Obstetrics & Gynecology - Obstetrics · taxonomy 207VX0000X
- **State license:** 4301099662 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 26850 PROVIDENCE PKWY, SUITE 425, Novi, MI 48374-1213
- **Phone:** (248) 465-4040
## 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:** Henry Ford Health Providence Hospital (NPI 1003871062, Southfield, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** July 7, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1366706632) · Data from the CMS NPPES public registry.