DEARBORN SURGERY CENTER LLC NPI 1467491407

NPI Information

  • NPI: 1467491407
  • Provider Name: DEARBORN SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: DEARBORN SURGERY CENTER
  • Address: 18100 OAKWOOD BLVD
    SUITE 100
    DEARBORN, MI
    ZIP 48124
  • Phone: (313) 253-2000

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NPI Details

DEARBORN SURGERY CENTER, LLC is an ambulatory surgical clinic center in Dearborn, MI. DEARBORN SURGERY CENTER, LLC NPI is 1467491407. The provider is registered as an organization entity type.
The provider Is Doing Business As Dearborn Surgery Center.

The provider's business location address is:

18100 OAKWOOD BLVD
SUITE 100
DEARBORN, MI
ZIP 48124-071
Phone: (313) 253-2000
Fax: (313) 253-2004

The provider's authorized official is Barry M Cullen .
The authorized official title is Board Manager and has the following contact phone number (313) 982-3040.

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.

  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Dilation of esophagus (HCPCS:43450)
  • Destruction of polyp or growth of large bowel using a flexible endoscope (HCPCS:45388)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Injection of anesthetic agent and/or steroid into other nerve or branch (HCPCS:64450)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Partial removal of breast (HCPCS:19301)
  • Removal of nasal sinus tissue using an endoscope (HCPCS:31267)
  • Release of tendon connecting biceps muscle and shoulder using an endoscope (HCPCS:29828)
  • Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)
  • Removal of both knee cartilages using an endoscope (HCPCS:29880)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Manipulation of knee joint under anesthesia (HCPCS:27570)
  • Removal of deep implant from bone (HCPCS:20680)
  • Evaluation of sleep-disordered breathing by examination of upper airway using an endoscope (HCPCS:42975)
  • Reshaping of nasal cartilage (HCPCS:30520)
  • Removal of extensive shoulder joint tissue using an endoscope (HCPCS:29823)
  • Limited removal of abnormal shoulder joint tissue using endoscope (HCPCS:29822)

The enumeration date for this NPI number is 6/5/2006 and was last updated on 10/20/2009.

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 Surgical826846MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10P17750MEDICARE UPINMICHIGAN
223C0001059MEDICARE ID-TYPE UNSPECIFIEDMICHIGANPROVIDER NUMBER

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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