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NOVI NEUROLOGY PC
NPI 1962704585
Psychiatry & Neurology - Neurology in Novi, MI

Active since December 02, 2010
44000 W 12 MILE RD, STE 213, NOVI, MI 48377(248) 347-8293(248) 305-6847 Get Directions Write a Review

NPPES record last updated: December 2, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Novi Neurology Pc NPPES

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

NOVI NEUROLOGY PC (NPI 1962704585) is a healthcare organization registered as a neurology in Novi, Michigan and active in the NPI registry since December 2010. The organization lists Vijay Samuel, President, as its authorized official.

NPPES Registry Identity

NPI1962704585
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameNOVI NEUROLOGY PC
Location Address44000 W 12 MILE RD, STE 213Novi, MI 48377-2644
Mailing AddressPo Box 1038Bloomfield, MI 48303-1038 · (248) 347-8293 · Fax (248) 305-6847
Phone(248) 347-8293
Fax(248) 305-6847
Organization SubpartNo
Authorized OfficialVijay SamuelPresident · (248) 347-8293
Enumeration DateDecember 2, 2010
✔ NPI 1962704585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in MI · 4301060170
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
44000 W 12 MILE RD, Novi, MI 48377
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Other Identifiers 2

Medicaid4477679MI
Medicare PIN0N65030MI

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Novi Neurology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20101213000125Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Novi Neurology PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Vijay Samuel, M.D.
Neurology
NPI 1285787739
44000 W 12 MILE RD. STE 213
Novi, MI 48377
(248) 347-8293
✔ PECOS✔ Accepts Medicare3.7 mi

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

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 Novi Neurology PC's NPI number?

The NPI number for Novi Neurology PC is 1962704585. It was assigned to this organization in the NPPES registry on December 2, 2010.

Where is Novi Neurology PC located?

Novi Neurology PC is located at 44000 W 12 Mile Rd Ste 213, Novi, MI 48377. The listed phone number is (248) 347-8293.

What is Novi Neurology PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Novi Neurology PC enrolled in Medicare?

Yes. Novi Neurology PC is registered in the Medicare PECOS enrollment system.

When is Novi Neurology PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Novi Neurology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurology) reassigns their Medicare billing to Novi Neurology PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Novi Neurology PC was last updated on December 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.