Michigan Endoscopy Center at Providence Park
NPI 1306283957 · Ambulatory Surgical Clinic/Center · Novi, MI
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michigan Endoscopy Center at Providence Park is a Ambulatory Surgical Clinic/Center organization in Novi, MI (NPI 1306283957).
Provider details
- NPI number
- 1306283957
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Cristin Trahey, Administrator(248) 465-9220
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
13 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,232 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 377 | $445 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 338 | $565 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 258 | $318 |
| Colorectal Cancer Screening; Colonoscopy on Individual at High RiskG0105 | 144 | $442 |
| Colorectal Cancer Screening; Colonoscopy on Individual Not Meeting Criteria for High RiskG0121 | 43 | $442 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-05-22
- Last updated
- 2025-11-04
- Certified
- 2025-11-04
Frequently asked questions
- What is Michigan Endoscopy Center at Providence Park's NPI number?
- Michigan Endoscopy Center at Providence Park's National Provider Identifier (NPI) is 1306283957, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Michigan Endoscopy Center at Providence Park?
- Michigan Endoscopy Center at Providence Park is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Michigan Endoscopy Center at Providence Park located?
- Michigan Endoscopy Center at Providence Park's practice location on file with NPPES is 47601 Grand River Ave Ste D-110, Novi, MI 48374-1233.
- What is Michigan Endoscopy Center at Providence Park's phone number?
- The practice phone number listed in the NPPES registry for Michigan Endoscopy Center at Providence Park is (248) 465-9220.
- Does Michigan Endoscopy Center at Providence Park accept Medicare?
- Michigan Endoscopy Center at Providence Park 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 Michigan Endoscopy Center at Providence Park?
- The authorized official listed on Michigan Endoscopy Center at Providence Park's NPPES record is Cristin Trahey, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Michigan Endoscopy Center at Providence Park's NPI active?
- Yes — Michigan Endoscopy Center at Providence Park's NPI (1306283957) is active in the NPPES registry as of the last update on 2025-11-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.