PROMEDICA CARDIOLOGY OF MONROE
NPI 1659676708
Internal Medicine - Cardiovascular Disease in Monroe, MI

Active since January 21, 2011
730 N MACOMB ST, SUITE 429, MONROE, MI 48162(734) 242-7060(734) 241-7580 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 4, 2023, Feb 4, 2021, Aug 9, 2016 (3 updates tracked since 2016).

About Promedica Cardiology Of Monroe NPPES

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

PROMEDICA CARDIOLOGY OF MONROE (NPI 1659676708) is a healthcare organization registered as a cardiovascular disease in Monroe, Michigan and active in the NPI registry since January 2011. The organization lists Tanya Wines, Director, System Credentialing, as its authorized official.

NPPES Registry Identity

NPI1659676708
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NamePROMEDICA MONROE CARDIOLOGY, PLLC
Location Address730 N MACOMB ST, SUITE 429Monroe, MI 48162-2900
Mailing Address100 Madison Ave, Msc-s38805Toledo, OH 43604 · (844) 373-0871 · Fax (419) 885-3921
Fax(734) 241-7580
Organization SubpartNo
Authorized OfficialTanya WinesDirector, System Credentialing · (567) 585-0422
Enumeration DateJanuary 21, 2011
Last NPPES UpdateOctober 4, 20233 updates tracked since enumeration
NPPES CertifiedOctober 4, 2023
✔ NPI 1659676708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
730 N MACOMB ST, Monroe, MI 48162

Other Names 1

Doing Business AsPromedica Cardiology Of Monroe

Other Identifiers 1

Medicaid3126683OH

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Promedica Cardiology Of Monroe is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Promedica Cardiology Of Monroe, which bills Medicare for the services this clinician delivers.

Clinician (1)

Interventional Cardiology
NPI 1710987060
730 N MACOMB ST STE 429
Monroe, MI 48162
(734) 242-7060
✔ PECOS✔ Accepts MedicareSame address

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 Promedica Monroe Cardiology, PLLC's NPI number?

The NPI number for Promedica Monroe Cardiology, PLLC is 1659676708. It was assigned to this organization in the NPPES registry on January 21, 2011. The provider is doing business as Promedica Cardiology Of Monroe.

Where is Promedica Monroe Cardiology, PLLC located?

Promedica Monroe Cardiology, PLLC is located at 730 N Macomb St Suite 429, Monroe, MI 48162. The listed phone number is (734) 242-7060.

What is Promedica Monroe Cardiology, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Promedica Monroe Cardiology, PLLC enrolled in Medicare?

Yes. Promedica Monroe Cardiology, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Promedica Monroe Cardiology, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Interventional Cardiology) reassigns their Medicare billing to Promedica Monroe Cardiology, PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Promedica Monroe Cardiology, PLLC was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.