ROCHESTER HILLS OMS, P.C.
NPI 1366745119
Dentist - Oral and Maxillofacial Surgery in Rochester Hills, MI

Active since December 17, 2010
1205 W UNIVERSITY DR, ROCHESTER HILLS, MI 48307(248) 651-4202 Get Directions Write a Review

NPPES record last updated: November 2, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rochester Hills Oms, P.c. NPPES

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

ROCHESTER HILLS OMS, P.C. (NPI 1366745119) is a healthcare organization registered as an oral and maxillofacial surgery in Rochester Hills, Michigan and active in the NPI registry since December 2010. The organization lists Lisa Marie Obry, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1366745119
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameROCHESTER HILLS OMS, P.C.
Location Address1205 W UNIVERSITY DRRochester Hills, MI 48307-1864
Mailing Address1205 W University DrRochester Hills, MI 48307-1864 · (248) 651-4202
Organization SubpartNo
Authorized OfficialLisa Marie ObryOffice Manager · (248) 651-4202
Enumeration DateDecember 17, 2010
Last NPPES UpdateNovember 2, 2018
✔ NPI 1366745119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1205 W UNIVERSITY DR, Rochester Hills, MI 48307

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rochester Hills Oms, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20120820000025Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Rochester Hills Oms, P.C., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Maxillofacial Surgery
NPI 1417380387
1205 W UNIVERSITY DR
Rochester Hills, MI 48307
(248) 651-4202
✔ PECOSSame address
Maxillofacial Surgery
NPI 1366589228
1205 W. UNIVERSITY DRIVE
Rochester Hills, MI 48307
(248) 651-4202
✔ PECOSSame address
Maxillofacial Surgery
NPI 1114935632
1460 WALTON BLVD STE 10
Rochester Hills, MI 48309
(248) 651-4202
✔ PECOS0.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Rochester Hills Oms, P.C.'s NPI number?

The NPI number for Rochester Hills Oms, P.C. is 1366745119. It was assigned to this organization in the NPPES registry on December 17, 2010.

Where is Rochester Hills Oms, P.C. located?

Rochester Hills Oms, P.C. is located at 1205 W University Dr, Rochester Hills, MI 48307. The listed phone number is (248) 651-4202.

What is Rochester Hills Oms, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Rochester Hills Oms, P.C. enrolled in Medicare?

Yes. Rochester Hills Oms, P.C. is registered in the Medicare PECOS enrollment system.

When is Rochester Hills Oms, P.C.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Rochester Hills Oms, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Maxillofacial Surgery, reassign their Medicare billing to Rochester Hills Oms, P.C.. A 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 the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Rochester Hills Oms, P.C. accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Rochester Hills Oms, P.C. 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 Rochester Hills Oms, P.C. was last updated on November 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.