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SPECIALIZED SURGEONS LLC
NPI 1528072303
Oral & Maxillofacial Surgery in Livonia,, MI

Active since July 28, 2006
33111 W. SEVEN MILE RD., LIVONIA,, MI 48152(248) 888-8383(348) 888-0834 Get Directions Write a Review

NPPES record last updated: November 11, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Specialized Surgeons Llc NPPES

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

SPECIALIZED SURGEONS LLC (NPI 1528072303) is a healthcare organization registered as an oral & maxillofacial surgery in Livonia,, Michigan and active in the NPI registry since July 2006. The organization lists Kathy Stacey, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1528072303
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameSPECIALIZED SURGEONS LLC
Location Address33111 W. SEVEN MILE RD.Livonia,, MI 48152
Mailing Address33111 W. Seven Mile Rd.Livonia,, MI 48152 · (248) 888-8383 · Fax (348) 888-0834
Phone(248) 888-8383
Fax(348) 888-0834
Organization SubpartNo
Authorized OfficialKathy StaceyOffice Manager · (248) 888-8383
Enumeration DateJuly 28, 2006
Last NPPES UpdateNovember 11, 2008
✔ NPI 1528072303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
33111 W. SEVEN MILE RD., Livonia,, MI 48152
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Other Identifiers 2

OtherOH20333MI · Blue Cross Blue Shield Of Mi
Medicare PINOP23070MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Specialized Surgeons Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Specialized Surgeons LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Chad Betz, D.D.S.
Maxillofacial Surgery
NPI 1518013945
33111 W SEVEN MILE RD
Livonia, MI 48152
(248) 888-8383
✔ PECOS✔ Accepts MedicareSame address
Jeffery Mcfadden, D.D.S.
Maxillofacial Surgery
NPI 1831113125
33111 W. SEVEN MILE RD.
Livonia, MI 48152
(248) 888-8383
✔ PECOS✔ Accepts MedicareSame address
Jorge Autran Martinez, DDS
Maxillofacial Surgery
NPI 1346825247
30671 STEPHENSON HWY STE F
Madison Heights, MI 48071
(313) 466-4415
✔ PECOS✔ Accepts Medicare14 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 Specialized Surgeons LLC's NPI number?

The NPI number for Specialized Surgeons LLC is 1528072303. It was assigned to this organization in the NPPES registry on July 28, 2006.

Where is Specialized Surgeons LLC located?

Specialized Surgeons LLC is located at 33111 W. Seven Mile Rd., Livonia,, MI 48152. The listed phone number is (248) 888-8383.

What is Specialized Surgeons LLC's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Specialized Surgeons LLC enrolled in Medicare?

Yes. Specialized Surgeons LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Specialized Surgeons LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Maxillofacial Surgery, reassign their Medicare billing to Specialized Surgeons LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Specialized Surgeons LLC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Specialized Surgeons LLC 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 Specialized Surgeons LLC was last updated on November 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.