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AUSTIN POLUTANOVICH
NPI 1871339820
Nurse Practitioner - Acute Care in West Bloomfield, MI

Active since July 08, 2024PECOS EnrolledAccepts Medicare Assignment
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322(248) 661-6466 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 19, 2026, Jul 8, 2024 (2 updates tracked since 2024).

About Austin Polutanovich NPPES

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

AUSTIN POLUTANOVICH (NPI 1871339820) is an individual acute care provider in West Bloomfield, Michigan, licensed in Michigan (4704341665) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS, is affiliated with Southeast Michigan Surgical Hospital Llc, and is a graduate of University Of Michigan Medical School (2024).

NPPES Registry Identity

NPI1871339820
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameAUSTIN POLUTANOVICH
Location Address6777 W MAPLE RDWest Bloomfield, MI 48322-3013
Mailing Address1092 Oregon BlvdWaterford, MI 48327-3345 · (810) 394-1334
Phone(248) 661-6466
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2024
Enumeration DateJuly 8, 2024
Last NPPES UpdateJanuary 19, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2026
✔ NPI 1871339820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MI · 4704341665
6777 W MAPLE RD, West Bloomfield, MI 48322
Open in Google Maps ↗

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Austin Polutanovich 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 ID2860930450
PECOS Enrollment IDI20240814001328
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.

Hospital Affiliations CMS Care Compare 2

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

Southeast Michigan Surgical Hospital LLC

Acute Care Hospitals · Warren, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number230264
Location21230 Dequindre RoadWarren, MI 48091 · Macomb County

Henry Ford Health West Bloomfield Hospital

Acute Care Hospitals · West Bloomfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230302
Location6777 West Maple RoadWest Bloomfield, MI 48322 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48322 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
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.

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.

IRB MEDICAL EQUIPMENT LLC
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
6777 W MAPLE RD, RM 60-01
WEST BLOOMFIELD, MI 48322
Oakland County (248) 862-7214
MELISSA ANNE BARACH AGCNS
Clinical Nurse Specialist
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Oakland County (989) 245-7466
ANNA CEDOZ CCC-SLP
Speech-Language Pathologist
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Oakland County (248) 325-1000
SAYEDUL ISLAM
Specialist/Technologist, Other (Surgical Assistant)
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Oakland County (800) 653-6568
MADISON SOKOL MOT
Occupational Therapist
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Oakland County (248) 325-3113
SARAH ANNE MATTAN PA
Physician Assistant (Medical)
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Oakland County (800) 653-6568
JENNIFER LEE FRANKLIN M.D.
Emergency Medicine
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Oakland County (843) 876-8023
NICOLE AURORA RADU-YAKOB CRNA
Nurse Anesthetist, Certified Registered
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Oakland County (248) 661-4100

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 Austin Polutanovich's NPI number?

The NPI number for Austin Polutanovich is 1871339820. It was assigned to this individual provider in the NPPES registry on July 8, 2024.

Where is Austin Polutanovich located?

Austin Polutanovich practices at 6777 W Maple Rd, West Bloomfield, MI 48322. The listed phone number is (248) 661-6466.

What is Austin Polutanovich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Austin Polutanovich enrolled in Medicare?

Yes. Austin Polutanovich 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.

What insurance does Austin Polutanovich 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 3 other insurers list Austin Polutanovich 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 Austin Polutanovich affiliated with any hospitals?

According to CMS data, Austin Polutanovich is affiliated with Southeast Michigan Surgical Hospital LLC and Henry Ford Health West Bloomfield Hospital.

When was this NPI record last updated?

The NPPES record for Austin Polutanovich was last updated on January 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.