St Clair Shores Obstetrics and Gynecolgy, PLC
NPI 1164535886 · Obstetrics & Gynecology Physician · Saint Clair Shores, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
St Clair Shores Obstetrics and Gynecolgy, PLC is a Obstetrics & Gynecology Physician organization in Saint Clair Shores, MI (NPI 1164535886).
Provider details
- NPI number
- 1164535886
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Constantine Raphtis, Member(586) 779-9400
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Shores Ob/Gyn
Registry dates
- Enumerated
- 2006-08-16
- Last updated
- 2020-08-22
Frequently asked questions
- What is St Clair Shores Obstetrics and Gynecolgy, PLC's NPI number?
- St Clair Shores Obstetrics and Gynecolgy, PLC's National Provider Identifier (NPI) is 1164535886, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St Clair Shores Obstetrics and Gynecolgy, PLC?
- St Clair Shores Obstetrics and Gynecolgy, PLC is classified in the NPPES registry as Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is St Clair Shores Obstetrics and Gynecolgy, PLC located?
- St Clair Shores Obstetrics and Gynecolgy, PLC's practice location on file with NPPES is 19714 E 10 Mile Rd, Saint Clair Shores, MI 48080-1064.
- What is St Clair Shores Obstetrics and Gynecolgy, PLC's phone number?
- The practice phone number listed in the NPPES registry for St Clair Shores Obstetrics and Gynecolgy, PLC is (586) 779-9400.
- Does St Clair Shores Obstetrics and Gynecolgy, PLC accept Medicare?
- St Clair Shores Obstetrics and Gynecolgy, PLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for St Clair Shores Obstetrics and Gynecolgy, PLC?
- The authorized official listed on St Clair Shores Obstetrics and Gynecolgy, PLC's NPPES record is Constantine Raphtis, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St Clair Shores Obstetrics and Gynecolgy, PLC's NPI active?
- Yes — St Clair Shores Obstetrics and Gynecolgy, PLC's NPI (1164535886) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.