ROYAL OAK SURGICAL ASSOCIATES PC
NPI 1407930282
Surgery in Berkley, MI

Active since October 25, 2006
1695 12 MILE RD, SUITE 220, BERKLEY, MI 48072(248) 551-8180(248) 551-8181 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 22, 2022, Nov 17, 2020, Aug 22, 2020 (3 updates tracked since 2020).

About Royal Oak Surgical Associates Pc NPPES

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

ROYAL OAK SURGICAL ASSOCIATES PC (NPI 1407930282) is a healthcare organization registered as a surgery in Berkley, Michigan and active in the NPI registry since October 2006. The organization lists Peter Ferenz Czako, President, as its authorized official.

NPPES Registry Identity

NPI1407930282
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameROYAL OAK SURGICAL ASSOCIATES PC
Location Address1695 12 MILE RD, SUITE 220Berkley, MI 48072-2100
Mailing Address1695 12 Mile Rd, Suite 220Berkley, MI 48072-2100 · (248) 551-8180 · Fax (248) 551-8181
Fax(248) 551-8181
Organization SubpartNo
Authorized OfficialPeter Ferenz CzakoPresident · (248) 551-8180
Enumeration DateOctober 25, 2006
Last NPPES UpdateSeptember 26, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2025
✔ NPI 1407930282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1695 12 MILE RD, Berkley, MI 48072

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)

Royal Oak Surgical Associates Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 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 IDO20040403000145Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Royal Oak Surgical Associates PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

General Surgery
NPI 1194813253
1695 12 MILE RD SUITE 220
Berkley, MI 48072
(248) 551-8180
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1518172402
1695 12 MILE RD SUITE 220
Berkley, MI 48072
(248) 551-8180
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1174781280
1695 12 MILE RD SUITE 220
Berkley, MI 48072
(248) 551-8180
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1275621328
1695 12 MILE RD SUITE 220
Berkley, MI 48072
(248) 551-8180
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1407867799
3535 W 13 MILE RD SUITE 209
Royal Oak, MI 48073
(248) 565-3996
✔ PECOS✔ Accepts Medicare1.2 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 Royal Oak Surgical Associates PC's NPI number?

The NPI number for Royal Oak Surgical Associates PC is 1407930282. It was assigned to this organization in the NPPES registry on October 25, 2006.

Where is Royal Oak Surgical Associates PC located?

Royal Oak Surgical Associates PC is located at 1695 12 Mile Rd Suite 220, Berkley, MI 48072. The listed phone number is (248) 551-8180.

What is Royal Oak Surgical Associates PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Royal Oak Surgical Associates PC enrolled in Medicare?

Yes. Royal Oak Surgical Associates PC is registered in the Medicare PECOS enrollment system.

When is Royal Oak Surgical Associates PC'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 October 31, 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 Royal Oak Surgical Associates PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Royal Oak Surgical Associates PC. 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. The largest specialties are General Surgery (4) and Nurse Practitioner (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Royal Oak Surgical Associates PC 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 list Royal Oak Surgical Associates PC 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 Royal Oak Surgical Associates PC was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.