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DR. NATHAN MICHAEL NOVOTNY M.D.
NPI 1730346180
Surgery - Pediatric Surgery in Royal Oak, MI

Active since May 21, 2008PECOS Enrolled
80.99/100
CMS Quality Rating
3535 W 13 MILE RD STE 307, ROYAL OAK, MI 48073(248) 551-2400(248) 551-6556 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 29, 2022, Nov 3, 2021, Oct 20, 2020 and 6 more (9 updates tracked since 2018).

About Dr. Nathan Michael Novotny M.d. NPPES

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

DR. NATHAN MICHAEL NOVOTNY M.D. (NPI 1730346180) is an individual pediatric surgery provider in Royal Oak, Michigan, licensed in Michigan (4301104010) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1730346180
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameDR. NATHAN MICHAEL NOVOTNYCredential: M.D.
Location Address3535 W 13 MILE RD STE 307Royal Oak, MI 48073-6770
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849
Phone(248) 551-2400
Fax(248) 551-6556
Sole ProprietorNo
Enumeration DateMay 21, 2008
Last NPPES UpdateMarch 29, 20249 updates tracked since enumeration
NPPES CertifiedMarch 29, 2024
✔ NPI 1730346180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in MI · 4301104010
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
3535 W 13 MILE RD STE 307, Royal Oak, MI 48073
Open in Google Maps ↗

Secondary Practice Locations 4

Location 144199 Dequindre Rd Ste 615Troy, MI 48085-1128 · Phone (248) 964-9660
Location 218101 Oakwood BlvdDearborn, MI 48124-4089 · Phone (313) 593-7000
Location 36900 Orchard Lake Rd Ste Ll-100West Bloomfield, MI 48322-3424 · Phone (248) 855-7852
Location 418100 Oakwood Blvd Ste 303Dearborn, MI 48124-4085 · Phone (313) 438-7998

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nathan Michael Novotny M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Nathan Novotny reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

William Beaumont Hospital
0.1 mi
Cardiovascular Disease
3601 W 13 MILE RD
Royal Oak, MI 48073
  • Reassigned Medicare billing, Michigan enrollment
  • 154 clinicians in this Medicare group
NPI 1063461366 (248) 423-2454
Beaumont Medical Group- Specialty Services
0.3 mi
Surgery
3601 W 13 MILE RD
Royal Oak, MI 48073
  • Reassigned Medicare billing, Michigan enrollment
  • 1,030 clinicians in this Medicare group
NPI 1578072906 (248) 898-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.25
Promoting Interoperability100
Improvement Activities40
Cost59.73

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BEGUM AKAY M.D.
Surgery
3535 W 13 MILE RD STE 307
ROYAL OAK, MI 48073
Oakland County (248) 551-2400
ANTHONY STALLION M.D.
Surgery (Pediatric Surgery)
3535 W 13 MILE RD STE 307
ROYAL OAK, MI 48073
Oakland County (248) 551-2400
PAVAN BRAHMAMDAM MD
Surgery
3535 W 13 MILE RD STE 307
ROYAL OAK, MI 48073
Oakland County (248) 551-2400

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 Nathan Novotny's NPI number?

The NPI number for Nathan Novotny is 1730346180. It was assigned to this individual provider in the NPPES registry on May 21, 2008.

Where is Nathan Novotny located?

Nathan Novotny practices at 3535 W 13 Mile Rd Ste 307, Royal Oak, MI 48073. The listed phone number is (248) 551-2400.

What is Nathan Novotny's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Nathan Novotny enrolled in Medicare?

Yes. Nathan Novotny is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nathan Novotny's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Novotny reassigns Medicare benefits to 2 organizations: William Beaumont Hospital (Royal Oak, MI) and Beaumont Medical Group- Specialty Services (Royal Oak, MI). Each 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 Nathan Novotny's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nathan Novotny accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Nathan Novotny 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 Nathan Novotny was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.