ANDRE NOUMI
NPI 1710369210
Hospitalist in Royal Oak, MI

NPI Status: Active since June 22, 2015

Contact Information

3601 W 13 MILE RD
ROYAL OAK, MI
ZIP 48073
Phone: (248) 691-8646

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  • Individual
  • Male
  • Years of Experience 12
  • Hospitalist
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ANDRE NOUMI

This page provides the complete NPI Profile along with additional information for Andre Noumi, a provider established in Royal Oak, Michigan with a medical specialization in Hospitalist and more than 12 years of experience. The healthcare provider is registered in the NPI registry with number 1710369210 assigned on June 2015. The practitioner's primary taxonomy code is 208M00000X with license number 4301502574 (MI). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1710369210
Provider Name
ANDRE NOUMI
Gender
Male
Entity Type
Individual
Location Address
3601 W 13 MILE RD ROYAL OAK, MI 48073
Location Phone
(248) 691-8646
Mailing Address
12745 S SAGINAW ST # 806-196 GRAND BLANC, MI 48439
Mailing Phone
(248) 691-8646
Medical School Name
OTHER
Graduation Year
2014
Is Sole Proprietor?
Yes
Enumeration Date
06-22-2015
Last Update Date
02-22-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospitalist

Taxonomy Code
208M00000X
Type
Allopathic & Osteopathic Physicians
License No.
4301502574
License State
MI
Taxonomy Description
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Medicare Participation & PECOS Enrollment Status

Andre Noumi is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Andre Noumi is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2365751369

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20220405001638

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Oxygen and Supplies (DC002N)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    3 DME suppliers used 33 Medicare Claims 33 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Portable oxygen concentrator, rental (HCPCS:E1392)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Coronary angioplasty and stenting

Coronary angioplasty and stenting is a procedure to open narrowed or blocked heart arteries. A thin tube is inserted into a blood vessel, usually in the leg or arm, and guided to the heart. A small balloon at the end of the tube is inflated to widen the artery. A stent, a small wire mesh tube, may be placed in the artery to keep it open.

This service was performed for 1-10 patients

Follow-up hospital inpatient care per day, typically 15 minutes

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

This service was performed 75 times for 31 patients

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 335 times for 123 patients

Follow-up hospital inpatient care per day, typically 35 minutes

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

This service was performed 114 times for 61 patients

Hospital discharge day management, 30 minutes or less

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

This service was performed 27 times for 26 patients

Hospital discharge day management, more than 30 minutes

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

This service was performed 94 times for 92 patients

Initial hospital inpatient care per day, typically 50 minutes

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

This service was performed 41 times for 36 patients

Initial hospital inpatient care per day, typically 70 minutes

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

This service was performed 47 times for 47 patients

Initial hospital observation care per day, typically 50 minutes

Initial hospital observation care is a service where healthcare professionals monitor your health for about 50 minutes daily. This helps them understand your condition better, plan treatment, and ensure your safety. It's a routine part of hospital care.

This service was performed 11 times for 11 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $33.57 for a new patient copayment and $25.58 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 48073 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $134.28
  • Minimum New Patient Price $58.04
  • Maximum New Patient Price $177.36
  • Average New Patient Copayment $33.57
  • Minimum New Patient Copayment $14.51
  • Maximum New Patient Copayment $44.34

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $102.35
  • Minimum Established Patient Price $18.32
  • Maximum Established Patient Price $143.49
  • Average Established Patient Copayment $25.58
  • Minimum Established Patient Copayment $4.58
  • Maximum Established Patient Copayment $35.87

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Andre Noumi is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
PROMEDICA TOLEDO HOSPITAL2142 NORTH COVE BOULEVARD
TOLEDO, OH 43606
(419) 291-7482Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710369210
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2720661822
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 6 + 6 + 1 + 8 + 2 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1710369210 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DR. YVONNE F POSEY MD

Pathology

(Chemical Pathology)

3601 W 13 MILE RD
WILLIAM BEAUMONT HOSPITAL, DEPT. OF CLINICAL PATHOLOGY
ROYAL OAK, MI
ZIP 48073

(248) 551-8030

DR. KATHRYN D WEASE MD

Hospitalist

3601 W 13 MILE RD
ROYAL OAK, MI
ZIP 48073

(248) 691-8646

DR. CRAIG T HARTRICK MD

Anesthesiology

(Pain Medicine)

3601 W 13 MILE RD
ANESTHESIOLOGY DEPT
ROYAL OAK, MI
ZIP 48073

(248) 723-1635

MR. PAMELA SUE GRAY N.P.

Nurse Practitioner

(Family)

3601 W 13 MILE RD
ROYAL OAK, MI
ZIP 48073

(248) 898-4760

DR. ABDUL A AL SAADI PHD

Medical Genetics, Ph.D. Medical Genetics

3601 W 13 MILE RD
ROYAL OAK, MI
ZIP 48073

(248) 898-1256

DR. DOMINIC D MONTEROSSO DO

Anesthesiology

3601 W 13 MILE RD
ANESTHESIOLOGY DEPT
ROYAL OAK, MI
ZIP 48073

(248) 723-1635

DR. SUSAN N IOVAN MD

Anesthesiology

3601 W 13 MILE RD
ANESTHESIOLOGY DEPT
ROYAL OAK, MI
ZIP 48073

(248) 723-1635

DR. ROMAN MAGIDENKO MD

Anesthesiology

3601 W 13 MILE RD
ANESTHESIOLOGY DEPT
ROYAL OAK, MI
ZIP 48073

(248) 723-1635

DR. DEANE Y HARIMOTO MD

Anesthesiology

3601 W 13 MILE RD
ANESTHESIOLOGY DEPT
ROYAL OAK, MI
ZIP 48073

(248) 723-1635

DR. MARK B YESTREPSKY MD

Anesthesiology

3601 W 13 MILE RD
ANETHESIOLOGY DEPT
ROYAL OAK, MI
ZIP 48073

(248) 723-1635

DR. GREGORY F SMITH MD

Anesthesiology

3601 W 13 MILE RD
ANESTHESIOLOGY DEPT
ROYAL OAK, MI
ZIP 48073

(248) 723-1635

DR. DONALD R TATUM MD

Anesthesiology

3601 W 13 MILE RD
ROYAL OAK, MI
ZIP 48073

(248) 723-1635

DR. DANIEL L SILVASI MD

Anesthesiology

3601 W 13 MILE RD
ANESTHESIOLOGY DEPT
ROYAL OAK, MI
ZIP 48073

(248) 723-1635

DR. DOUGLAS M STERNBERG MD

Anesthesiology

3601 W 13 MILE RD
ANESTHESIOLOGY DEPT
ROYAL OAK, MI
ZIP 48073

(248) 723-1635

DR. JEFFREY P BELLEFLEUR MD

Anesthesiology

3601 W 13 MILE RD
ANESTHESIOLOGY DEPT
ROYAL OAK, MI
ZIP 48073

(248) 723-1635

DR. JAMES TING MD

Anesthesiology

3601 W 13 MILE RD
ANESTHESIOLOGY DEPT
ROYAL OAK, MI
ZIP 48073

(248) 723-1635

DR. MICHAEL G MCCUE MD

Anesthesiology

3601 W 13 MILE RD
ANESTHESIOLOGY DEPT
ROYAL OAK, MI
ZIP 48073

(248) 723-1635

DR. ROBERT F MURRAY III MD

Anesthesiology

3601 W 13 MILE RD
ANESTHESIOLOGY DEPT
ROYAL OAK, MI
ZIP 48073

(248) 723-1635

DR. HARRY G PARR DO

Anesthesiology

3601 W 13 MILE RD
ANESTHESIOLOGY DEPT
ROYAL OAK, MI
ZIP 48073

(248) 723-1635

DR. PRAXEDIZ A MEZA MD

Anesthesiology

3601 W 13 MILE RD
ROYAL OAK, MI
ZIP 48073

(248) 723-1635

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710369210, enumerated as an "individual" on June 22, 2015.

The provider is located at 3601 W 13 MILE RD ROYAL OAK, MI 48073 and the phone number is (248) 691-8646.

Hospitalist with taxonomy code 208M00000X.

Andre Noumi is affiliated with: PROMEDICA TOLEDO HOSPITAL.