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SURGERY CENTERS OF MICHIGAN
NPI 1841059854
Clinic/Center - Ambulatory Surgical in Saint Clair Shores, MI

Active since March 14, 2024
29000 LITTLE MACK AVE STE C, SAINT CLAIR SHORES, MI 48081(586) 343-8717(586) 343-8773 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 4, 2024, May 9, 2024 (2 updates tracked since 2024).

About Surgery Centers Of Michigan NPPES

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

SURGERY CENTERS OF MICHIGAN (NPI 1841059854) is a healthcare organization registered as an ambulatory surgical in Saint Clair Shores, Michigan and active in the NPI registry since March 2024. The organization lists Amer Alame, Owner, as its authorized official.

NPPES Registry Identity

NPI1841059854
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business Name12 MILE SURGERY CENTER, PLLC
Location Address29000 LITTLE MACK AVE STE CSaint Clair Shores, MI 48081-3018
Mailing Address29000 Little Mack Ave Ste CSaint Clair Shores, MI 48081-3018 · (586) 343-8717 · Fax (586) 343-8773
Phone(586) 343-8717
Fax(586) 343-8773
Organization SubpartNo
Authorized OfficialAmer AlameOwner · (586) 343-8717
Enumeration DateMarch 14, 2024
Last NPPES UpdateOctober 4, 20242 updates tracked since enumeration
NPPES CertifiedOctober 4, 2024
✔ NPI 1841059854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
29000 LITTLE MACK AVE STE C, Saint Clair Shores, MI 48081
Open in Google Maps ↗

Other Names 1

Doing Business AsSurgery Centers Of Michigan

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, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Surgery Centers Of Michigan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Surgery Centers Of Michigan, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Rachel Mastay, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1477115566
22101 MOROSS RD
Detroit, MI 48236
(313) 343-4000
6.2 mi
Mark Wagner, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1164732053
468 CADIEUX RD
Grosse Pointe, MI 48230
(248) 577-3520
8.6 mi
Hassan Abbas, RN
Certified Registered Nurse Anesthetist (CRNA)
NPI 1629649736
323 N VERMONT AVE
Royal Oak, MI 48067
(313) 632-0550
11 mi
Glenn Oconnor, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1952400905
2799 W GRAND BLVD DEPARTMENT OF ANESTHESIOLOGY
Detroit, MI 48202
(313) 916-7648
13 mi
Kyle Doyle, MSN, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1306460787
2601 ELECTRIC AVE
Port Huron, MI 48060
(810) 216-1500
39 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2312586

12 Mile Surgery Center, PLLC · St Clair Shores, MI
Expired · Oct 14, 2026
CLIA Number23D2312586
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 15, 2024
Certificate Expiration DateOctober 14, 2026
Laboratory DirectorAmer M. Alame
Laboratory Phone(586) 899-4984
Laboratory Location12 Mile Surgery Center, PLLC29000 Little Mack Suite C, St Clair Shores, MI 48081
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 12 Mile Surgery Center, PLLC's NPI number?

The NPI number for 12 Mile Surgery Center, PLLC is 1841059854. It was assigned to this organization in the NPPES registry on March 14, 2024. The provider is doing business as Surgery Centers Of Michigan.

Where is 12 Mile Surgery Center, PLLC located?

12 Mile Surgery Center, PLLC is located at 29000 Little Mack Ave Ste C, Saint Clair Shores, MI 48081. The listed phone number is (586) 343-8717.

What is 12 Mile Surgery Center, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is 12 Mile Surgery Center, PLLC enrolled in Medicare?

Yes. 12 Mile Surgery Center, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through 12 Mile Surgery Center, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to 12 Mile Surgery Center, 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does 12 Mile Surgery Center, PLLC accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list 12 Mile Surgery Center, 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 12 Mile Surgery Center, PLLC was last updated on October 4, 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.