JUSTIN P DIREZZE MD SOLE MBR
NPI 1609362375
Internal Medicine in Novi, MI
About Justin P Direzze Md Sole Mbr NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTIN P DIREZZE MD SOLE MBR (NPI 1609362375) is a healthcare organization registered as an internal medicine in Novi, Michigan and active in the NPI registry since July 2018. The organization maintains 12 additional practice locations and lists Justin P Di Rezze, Owner/physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 7
Other Names 1
Secondary Practice Locations 12
Other Identifiers 1
Group Practice 1
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)
Justin P Direzze Md Sole Mbr 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.
Clinicians Billing Medicare Through This Organization
1,081Medicare enrollment records show 1,081 clinicians reassign Medicare billing to Justin P Direzze MD Sole Mbr, which bills Medicare for the services they deliver. Of these, 25 practice at this address and 53 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 25
Nearest to this location (20)
See all 1,081Source: 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 Theoria Medical's NPI number?
The NPI number for Theoria Medical is 1609362375. It was assigned to this organization in the NPPES registry on July 6, 2018. The provider is also known as Justin P Direzze MD Sole Mbr.
Where is Theoria Medical located?
Theoria Medical is located at 41800 W 11 Mile Rd Ste 109, Novi, MI 48375. The listed phone number is (248) 860-4634.
What is Theoria Medical's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Theoria Medical enrolled in Medicare?
Yes. Theoria Medical is registered in the Medicare PECOS enrollment system.
When is Theoria Medical'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 (Kentucky, 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 Theoria Medical?
According to the CMS Revalidation Reassignment List (October 2026 release), 1,081 clinicians in 25 Medicare specialties reassign their Medicare billing to Theoria Medical. 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 Nurse Practitioner (771), Internal Medicine (125) and Family Practice (97). Of these, 25 practice at this address and 53 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Theoria Medical accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 10 other insurers list Theoria Medical 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 Theoria Medical was last updated on August 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Justin P Direzze Md Sole Mbr · NPI 1609362375
Internal Medicine organization in Novi, Michigan. Organization record, active in the CMS NPPES registry since July 6, 2018.
## Identity
- **NPI:** 1609362375 (Entity type: Organization)
- **Enumerated:** July 6, 2018
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Theoria Medical
- **Organization subpart:** No
- **Authorized official:** Justin Di Rezze, OWNER/PHYSICIAN
## Practice location
- **Address:** 41800 W 11 MILE RD STE 109, Novi, MI 48375-1818
- **Phone:** (248) 860-4634 · **Fax:** (248) 282-5044
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Kentucky, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1,081 clinicians in 25 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (771), Internal Medicine (125), Family Practice (97); 25 practice at this address and 53 within 10 miles; [full list](https://npiprofile.com/npi/1609362375/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2022
- **Other identifiers:** Medicaid 0411248 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1609362375) · Data from the CMS NPPES public registry.