NEW MILLENNIUM SURGERY CENTER PLLC NPI 1366574410

NPI Information

  • NPI: 1366574410
  • Provider Name: NEW MILLENNIUM SURGERY CENTER, PLLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 23D1051311
  • Address: 29201 TELEGRAPH RD
    SUITE 315
    SOUTHFIELD, MI
    ZIP 48034
  • Phone: (248) 281-0028

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NPI Details

NEW MILLENNIUM SURGERY CENTER, PLLC is an ambulatory surgical clinic center in Southfield, MI. NEW MILLENNIUM SURGERY CENTER, PLLC NPI is 1366574410. The provider is registered as an organization entity type.

The provider's business location address is:

29201 TELEGRAPH RD
SUITE 315
SOUTHFIELD, MI
ZIP 48034-331
Phone: (248) 281-0028
Fax: (248) 281-0034

The provider's authorized official is Betty Vandeputte .
The authorized official title is Administrator and has the following contact phone number (248) 281-0028.

The CLIA number assigned to this NPI record is 23D1051311 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Repair of tendon of upper eyelid (HCPCS:67904)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Removal of growth of eyelid (HCPCS:67840)
  • Extensive repair of turning-outward eyelid defect (HCPCS:67917)
  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less (HCPCS:14060)
  • Extensive repair of turning-inward eyelid defect (HCPCS:67924)
  • Removal of over 1/4 of eyelid margin and repair of eyelid (HCPCS:67966)
  • Plastic repair of tear duct (HCPCS:68700)
  • Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less (HCPCS:11440)
  • Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less (HCPCS:15260)
  • Correction of widely-opened upper eyelid (HCPCS:67911)
  • Temporary closure of eyelids by suture (HCPCS:67875)
  • Removal of up to 1/4 of eyelid margin and repair of eyelid (HCPCS:67961)
  • Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm (HCPCS:11441)

The enumeration date for this NPI number is 3/12/2007 and was last updated on 11/29/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical636926MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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