Michigan Gastroenterology PLLC
NPI 1730911694 · Gastroenterology Physician · Saint Clair Shores, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michigan Gastroenterology PLLC is a Gastroenterology Physician organization in Saint Clair Shores, MI (NPI 1730911694).
Provider details
- NPI number
- 1730911694
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robbie Taha, Owner(313) 644-0040
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
1 yr 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
Registry dates
- Enumerated
- 2024-08-19
- Last updated
- 2024-11-12
- Certified
- 2024-11-12
Frequently asked questions
- What is Michigan Gastroenterology PLLC's NPI number?
- Michigan Gastroenterology PLLC's National Provider Identifier (NPI) is 1730911694, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Michigan Gastroenterology PLLC?
- Michigan Gastroenterology PLLC is classified in the NPPES registry as Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Michigan Gastroenterology PLLC located?
- Michigan Gastroenterology PLLC's practice location on file with NPPES is 29000 Little Mack Ave Ste a, Saint Clair Shores, MI 48081-3018.
- What is Michigan Gastroenterology PLLC's phone number?
- The practice phone number listed in the NPPES registry for Michigan Gastroenterology PLLC is (313) 644-0040.
- Does Michigan Gastroenterology PLLC accept Medicare?
- Michigan Gastroenterology PLLC 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 Gastroenterology PLLC?
- The authorized official listed on Michigan Gastroenterology PLLC's NPPES record is Robbie Taha, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Michigan Gastroenterology PLLC's NPI active?
- Yes — Michigan Gastroenterology PLLC's NPI (1730911694) is active in the NPPES registry as of the last update on 2024-11-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.