LUIS ANTONIO PIRES (NPI# 1689676223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689676223 |
| Entity Type | Individual |
| Full Name | LUIS ANTONIO PIRES |
| Credential | MD |
| Practice Address |
25195 Kelly Rd Suite A Roseville MI 48066-4909 |
| Practice Telephone | 5867754594 |
| Practice Fax Number | 5867754506 |
| Mailing Telephone | 5867754594 |
| Mailing Fax Number | 5867754506 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2013-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
4301063639 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
4301063639 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | DEA | BP1769770 | 01 |
| MI | BLUECROSSBLUESHIELD | 0605007411 | 01 |
| MI | MEDICARE ID | OH-26467007 | 01 |
| Street Address |
25195 KELLY RD SUITE A |
| City | ROSEVILLE |
| State | MI |
| Zip Code | 48066-4909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235360835 | Hani Kador | Internal Medicine | 25195 Kelly Rd, Suite A, Roseville, MI 48066-4909 | 2009-07-30 |
| 1568635522 | Dawn M Burke | Nurse Practitioner | 25195 Kelly Rd, Suite A, Roseville, MI 48066-4909 | 2008-04-10 |
| 1497952683 | Ashish Gangasani | Internal Medicine | 25195 Kelly Rd, Suite A, Roseville, MI 48066-4909 | 2007-06-29 |
| 1851492318 | Yi Chul Sul | Psychiatry & Neurology | 25195 Kelly Rd, Suite B, Roseville, MI 48066-4909 | 2006-09-26 |
| 1245335900 | David A Schwartz | Internal Medicine | 25195 Kelly Rd, Suite A, Roseville, MI 48066-4909 | 2006-09-14 |
| 1730283433 | Alicia G Lumley | Psychiatry & Neurology | 25195 Kelly Rd, Suite B, Roseville, MI 48066-4909 | 2006-09-12 |
| 1740390848 | Shyam Sunder Moudgil | Internal Medicine | 25195 Kelly Rd, Suite B, Roseville, MI 48066-4909 | 2006-08-30 |
| 1417061755 | Ilija Urosev | Internal Medicine | 25195 Kelly Rd, Ste A, Roseville, MI 48066-4909 | 2006-08-17 |
| 1699783613 | Banda P Reddy | Internal Medicine | 25195 Kelly Rd, Suite A, Roseville, MI 48066-4909 | 2006-08-04 |
| 1073520052 | Linda Ann Mannino | Nurse Practitioner | 25195 Kelly Rd, Suite A, Roseville, MI 48066-4909 | 2006-08-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761400 | Louay Mansour Dds PC | Dentist | 27845 Gratiot Avenue, Roseville, MI 48066 | 2020-08-20 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1053963033 | Convenient Rv PC | Dentist | 19551 E. 10 Mile Rd, Roseville, MI 48066 | 2019-07-10 |
| 1063914539 | Colleen Meriweather | Registered Nurse | 27300 Spruce, Rosevilel, MI 48066 | 2018-03-01 |
| 1326565789 | Renee Suzette Hoelzeman | Nurse Practitioner | 18472 Meier St, Roseville, MI 48066 | 2017-08-27 |
| 1225561400 | Eugenia Dillard | Counselor | 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 | 2017-04-05 |
| 1932651338 | Julie Plichota | Physical Therapist | 31120 Gratiot Ave, Roseville, MI 48066 | 2016-11-01 |
| 1699221325 | Jaquenta Glasker | Technician, Other | 26778 Rosewood, Roseville, MI 48066 | 2016-09-01 |
| 1609296144 | Peter Jajou | Dermatology | 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 | 2014-04-23 |
| 1619393899 | Katherine Michelle Johnson | Obstetrics & Gynecology | 29751 Little Mack Ave Ste B, Roseville, MI 48066 | 2014-03-11 |
| Find all providers in zip 48066 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154350890 | Cardiovascular Institute of Michigan, P.C. | Internal Medicine | 18303 E 10 Mile Rd, Suite 100, Roseville, MI 48066-4988 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639788367 | Tsz Kin Tam | Internal Medicine | 1500 E Medical Center Dr Spc 5869, Ann Arbor, MI 48109-5869 | 2020-07-29 |
| 1861804023 | Ashish Gangasani Md Pllc | Internal Medicine | 6881 Brook Hollow Ct, West Bloomfield, MI 48322-5208 | 2014-05-22 |
| 1245675792 | West Michigan Heart | Internal Medicine | 705 Oak St Unit 1, Big Rapids, MI 49307-3109 | 2013-05-09 |
| 1093941395 | Firas Zahwe | Internal Medicine | 4900 Mercury Dr Ste 202, Dearborn, MI 48126-2947 | 2009-06-02 |
| 1215145420 | Hossam Eldin Imam Mustafa | Internal Medicine | 900 Cooper Ave Ste 4100, Saginaw, MI 48602 | 2007-05-19 |
| 1063588382 | Arrhythmia Center of Southwest Michigan | Internal Medicine | 7901 12th Street, Suite 201, Portage, MI 49024 | 2006-11-28 |
| 1609838804 | Francis A Grubelich | Internal Medicine | 7901 12th St, Ste 201, Portage, MI 49024 | 2006-04-04 |
| 1639725252 | Yuet Wong Cheng | Internal Medicine | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2019-08-11 |
| 1629537147 | Michigan Heart Rhythm Center Pllc | Internal Medicine | 4900 Mercury Dr Ste 202, Dearborn, MI 48126-2947 | 2019-03-14 |
| 1679030530 | Heart and Vascular Institute | Internal Medicine | 22720 Michigan Ave Ste 200, Dearborn, MI 48124-2021 | 2019-02-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.