CARDIOTHORACIC SURGERY SPECIALISTS PLLC
NPI 1780464875
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Southfield, MI

Q: What is Cardiothoracic Surgery Specialists PLLC's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Active since October 05, 2023

22250 PROVIDENCE DR STE 206, SOUTHFIELD, MI 48075(248) 621-9777 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2025, Oct 12, 2023, Oct 5, 2023 (3 updates tracked since 2023).

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About Cardiothoracic Surgery Specialists Pllc NPPES

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

CARDIOTHORACIC SURGERY SPECIALISTS PLLC (NPI 1780464875) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Southfield, Michigan and active in the NPI registry since October 2023. The organization lists Michael Lee, Md, as its authorized official.

NPPES Registry Identity

NPI1780464875

Entity TypeOrganization

Primary Taxonomy208G00000X

Legal Business NameCARDIOTHORACIC SURGERY SPECIALISTS PLLC

Location Address22250 PROVIDENCE DR STE 206Southfield, MI 48075-6210

Mailing Address2392 Lake Angelus LnLake Angelus, MI 48326-1008

Phone(248) 621-9777

Organization SubpartNo

Authorized OfficialMichael LeeMd · (248) 621-9777

Enumeration DateOctober 5, 2023

Last NPPES UpdateMarch 19, 20253 updates tracked since enumeration

NPPES CertifiedMarch 19, 2025

✔ NPI 1780464875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

22250 PROVIDENCE DR STE 206, Southfield, MI 48075

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Other Providers at the Same Location NPPES 4

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

DR. MICHAEL WON KYU LEE MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

22250 PROVIDENCE DR STE 206
SOUTHFIELD, MI 48075

Oakland County (248) 709-4430

SUBIN PUNNEN MD

Surgery

22250 PROVIDENCE DR STE 206
SOUTHFIELD, MI 48075

Oakland County (248) 662-4333

ALYSSA JOY STROUD MD

Surgery

22250 PROVIDENCE DR STE 206
SOUTHFIELD, MI 48075

Oakland County (248) 662-4333

LUCAS TIDWELL MD

Surgery

22250 PROVIDENCE DR STE 206
SOUTHFIELD, MI 48075

Oakland County (248) 662-4333

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 Cardiothoracic Surgery Specialists PLLC's NPI number?

The NPI number for Cardiothoracic Surgery Specialists PLLC is 1780464875. It was assigned to this organization in the NPPES registry on October 5, 2023.

Where is Cardiothoracic Surgery Specialists PLLC located?

Cardiothoracic Surgery Specialists PLLC is located at 22250 Providence Dr Ste 206, Southfield, MI 48075. The listed phone number is (248) 621-9777.

What is Cardiothoracic Surgery Specialists PLLC's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

What insurance does Cardiothoracic Surgery Specialists PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Cardiothoracic Surgery Specialists PLLC 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 Cardiothoracic Surgery Specialists PLLC was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.