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ANA MARIA MADALINA CAPATINA-RATA M.D.
NPI 1780801332
Internal Medicine in Southfield, MI

Active since April 18, 2007PECOS EnrolledAccepts Medicare Assignment
80.53/100
CMS Quality Rating
22255 GREENFIELD RD, 410, SOUTHFIELD, MI 48075(248) 849-3281(248) 849-5449 Get Directions Write a Review

NPPES record last updated: April 2, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ana Maria Madalina Capatina-rata M.d. NPPES

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

ANA MARIA MADALINA CAPATINA-RATA M.D. (NPI 1780801332) is an individual internal medicine provider in Southfield, Michigan, licensed in Michigan (4301085696) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Ascension Providence Hospital, Southfield And Novi, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1780801332
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameANA MARIA MADALINA CAPATINA-RATACredential: M.D.
Location Address22255 GREENFIELD RD, 410Southfield, MI 48075-3710
Mailing Address22255 Greenfield Rd, 410Southfield, MI 48075-3710 · (248) 849-3281 · Fax (248) 849-5449
Phone(248) 849-3281
Fax(248) 849-5449
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateApril 18, 2007
Last NPPES UpdateApril 2, 2012
✔ NPI 1780801332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301085696
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
22255 GREENFIELD RD, Southfield, MI 48075
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Other Names 1

Former Name (1)Ana Maria Madalina Tamas M.d.

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 and accepts Medicare assignment

Ana Maria Madalina Capatina-rata M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951594985
PECOS Enrollment IDI20101021001176
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 Reassignment

Medicare enrollment records show Ana Capatina-rata reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ascension Providence Hospital
1.5 mi
Psychiatry
16001 W 9 MILE RD, PHYSICIAN BILLING SERVICES
Southfield, MI 48075
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Henry Ford Health Providence Hospital
  • 393 clinicians in this Medicare group
NPI 1619932670 (248) 849-3000

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

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
59 services43 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
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.
49 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services26 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
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.
24 services23 patients
Hospital discharge day management, more than 30 minutes 99239
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.
21 services21 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension Providence Hospital, Southfield And Novi

Acute Care Hospitals · Southfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230019
Location16001 W Nine Mile RdSouthfield, MI 48075 · Oakland County
Emergency services Birthing friendly

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48075 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

80.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.56
Promoting Interoperability100
Improvement Activities40
Cost61.55

Reported Quality Measures

Breast Cancer Screening
78%278 patients4/55-star benchmark: 93%
Cervical Cancer Screening
61%236 patients3/55-star benchmark: 98%
Colorectal Cancer Screening
67%521 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
70%447 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
34%195 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
20%195 patients4/55-star benchmark: 91%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
74%741 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
29%412 patients2/55-star benchmark: 61%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers13 claims62 services$7.03 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers11 claims29 services$1.21 avg. paid by Medicare
Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each A4388
DME-Orthotic Devices · category DF010N
1 supplier12 claims120 services$4.22 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$63.58 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$169.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

BEVERLY CAMERON RD, CDE
Dietitian, Registered
22255 GREENFIELD RD, SUITE 400
SOUTHFIELD, MI 48075
Oakland County (248) 849-3381
BETHANY RALPH DPT
Physical Therapist
22255 GREENFIELD RD
SOUTHFIELD, MI 48075
Oakland County (248) 849-3907
WENDY MARIE YODER MA, LPC
Counselor
22255 GREENFIELD RD, #132
SOUTHFIELD, MI 48075
Oakland County (248) 849-3301
LISA HILTON LMSW
Social Worker (Clinical)
22255 GREENFIELD RD, SUITE 300
SOUTHFIELD, MI 48075
Oakland County (248) 849-3301
SHELLEY ADAMS PT
Physical Therapist
22255 GREENFIELD RD
SOUTHFIELD, MI 48075
Oakland County (248) 849-3907
LESTER EDWARD POTEMPA DO
Psychiatry & Neurology (Psychiatry)
22255 GREENFIELD RD, 132
SOUTHFIELD, MI 48075
Oakland County (248) 849-3301
DAYNA MICHELLE MULLALY L.M.S.W.
Social Worker (Clinical)
22255 GREENFIELD RD, SUITE 300
SOUTHFIELD, MI 48075
Oakland County (248) 849-3301
ONCOLOGY ASSOCIATES PC
Internal Medicine (Hematology)
22255 GREENFIELD RD, STE 450
SOUTHFIELD, MI 48075
Oakland County (248) 356-2828

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 Ana Capatina-rata's NPI number?

The NPI number for Ana Capatina-rata is 1780801332. It was assigned to this individual provider in the NPPES registry on April 18, 2007. The provider is also known as Ana Maria Madalina Tamas M.D..

Where is Ana Capatina-rata located?

Ana Capatina-rata practices at 22255 Greenfield Rd 410, Southfield, MI 48075. The listed phone number is (248) 849-3281.

What is Ana Capatina-rata's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ana Capatina-rata enrolled in Medicare?

Yes. Ana Capatina-rata is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ana Capatina-rata's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ana Capatina-rata reassigns Medicare benefits to Ascension Providence Hospital (Southfield, MI). The 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 Ana Capatina-rata's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ana Capatina-rata 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 1 other insurer list Ana Capatina-rata 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.

Is Ana Capatina-rata affiliated with any hospitals?

According to CMS data, Ana Capatina-rata is affiliated with Ascension Providence Hospital, Southfield And Novi, Henry Ford Health Hospital, Beaumont Hospital Royal Oak and Ascension St John Hospital.

When was this NPI record last updated?

The NPPES record for Ana Capatina-rata was last updated on April 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.