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OAKLAND GASTROENTEROLOGY ASSOCIATES, P.C.
NPI 1508964511
Internal Medicine - Gastroenterology in Royal Oak, MI

Active since September 21, 2006CLIA 23D1076937 · Waiver
3535 W 13 MILE RD, SUITE 202, ROYAL OAK, MI 48073(248) 551-0900(248) 551-0905 Get Directions Write a Review

NPPES record last updated: May 5, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Oakland Gastroenterology Associates, P.c. NPPES

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

OAKLAND GASTROENTEROLOGY ASSOCIATES, P.C. (NPI 1508964511) is a healthcare organization registered as a gastroenterology in Royal Oak, Michigan and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through November 27, 2027 and lists Gregg Polidori, President, as its authorized official.

NPPES Registry Identity

NPI1508964511
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameOAKLAND GASTROENTEROLOGY ASSOCIATES, P.C.
Location Address3535 W 13 MILE RD, SUITE 202Royal Oak, MI 48073-6770
Mailing Address3535 W 13 Mile Rd, Suite 202Royal Oak, MI 48073-6770 · (248) 551-0900 · Fax (248) 551-0905
Phone(248) 551-0900
Fax(248) 551-0905
Organization SubpartNo
Authorized OfficialGregg PolidoriPresident · (248) 551-0900
Enumeration DateSeptember 21, 2006
Last NPPES UpdateMay 5, 2014
✔ NPI 1508964511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in MI · 4301044285
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
3535 W 13 MILE RD, Royal Oak, MI 48073
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Other Identifiers 20

Medicare UPINF28208MI
Medicare UPINE76131MI
Medicaid4340940MI
Medicaid4257370MI
Medicare UPING31464MI
Medicare UPINE76232MI
Medicaid2836230MI
Medicaid4257380MI
Medicaid4340978MI
Other100F37143MI · Bcbs And Bcn
Medicare UPINC45037MI
Medicaid4318636MI
Medicaid4592984MI
Medicare ID-Type Unspecified0F37143MI
Medicaid4101048MI
Medicaid4258298MI
Medicaid3364901MI
Medicare UPINH34728MI
Medicaid4310182MI
Medicaid2836211MI

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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D1076937

Oakland Gastroenterology Associates, PC · Royal Oak, MI
Active · expires Nov 27, 2027
CLIA Number23D1076937
Laboratory TypePhysician Office
Certificate Effective DateNovember 28, 2025
Certificate Expiration DateNovember 27, 2027
Laboratory DirectorTusar K. Desai
Laboratory Phone(248) 551-0900
Laboratory LocationOakland Gastroenterology Associates, PC3535 W 13 Mile Road Suite 202, Royal Oak, MI 48073
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

AGNES WROBEL M.D.
Psychiatry & Neurology (Psychiatry)
3535 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 551-1200
DR. HUSNA SHAHNOOR MD
Pediatrics
3535 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 551-3000
HUIYAN JIN
Ophthalmology
3535 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 551-3643
ALMONTASSER BELLA KASSIER MD
Internal Medicine
3535 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 602-8715
DR. RONALD S TAYLOR MD
Physical Medicine & Rehabilitation
3535 W 13 MILE RD, STE 437
ROYAL OAK, MI 48073
Oakland County (248) 288-2210
THWAB FREIHAT
Pediatrics
3535 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 551-3000
LMT REHABILITATION ASSOCIATES
Physical Medicine & Rehabilitation
3535 W 13 MILE RD, SUITE 437
ROYAL OAK, MI 48073
Oakland County (248) 288-2210
ABBY NOWAKOWSKI M.D.
Obstetrics & Gynecology
3535 W 13 MILE RD, SUITE 233
ROYAL OAK, MI 48073
Oakland County (248) 551-0417

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 Oakland Gastroenterology Associates, P.C.'s NPI number?

The NPI number for Oakland Gastroenterology Associates, P.C. is 1508964511. It was assigned to this organization in the NPPES registry on September 21, 2006.

Where is Oakland Gastroenterology Associates, P.C. located?

Oakland Gastroenterology Associates, P.C. is located at 3535 W 13 Mile Rd Suite 202, Royal Oak, MI 48073. The listed phone number is (248) 551-0900.

What is Oakland Gastroenterology Associates, P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does Oakland Gastroenterology Associates, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D1076937) is associated with this NPI, valid through November 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Oakland Gastroenterology Associates, P.C. accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Oakland Gastroenterology Associates, 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 Oakland Gastroenterology Associates, P.C. was last updated on May 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.