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Deactivated NPI 1629106851 Deactivated / Inactive NPI Male Practitioner

Dr. John Colombo , MD

Specialist • Eastpointe, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Colombo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 01, 2007
NPI Deactivation Date March 18, 2019
Total Practice Duration ~12 Years of Practice (2007 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. John Colombo, MD was a registered Specialist practicing in Eastpointe, MI. Throughout an active medical career spanning 12 years, Dr. Colombo provided care at the practice location at 22835 KELLY RD until profile deactivation on 2019-03-18.

Historical Medicare Part B clinical services included examination of eye by ophthalmoscope with retinal drawing, established patient complete exam of visual system, imaging of optic nerve. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

22835 Kelly Rd

Eastpointe, MI 480212073

Telephone 5867784400
Fax 5867783642
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Eastpointe, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 37.1 Yrs
Regional Practice Density
3 Specialists

Practicing in Eastpointe, MI (867 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
42.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92225 Examination of eye by ophthalmoscope with retinal drawing
98 49 $75.00 $26.15
92014 Established patient complete exam of visual system
68 63 $140.00 $120.95
92133 Imaging of optic nerve
23 23 $75.00 $35.50
95930 Measurement of nerve conduction using visual stimulation testing with report
19 19 $175.00 $125.14
92020 Examination of cornea and iris using lens device and slit lamp
14 14 $75.00 $26.26
92083 Exam of visual field with extended testing
12 12 $150.00 $62.34

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MI JC026758

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 18, 2019

Record deactivated on March 18, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 22835 KELLY RD, EASTPOINTE, MI 480212073 (Tel: 5867784400)

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Updated Business Mailing Address July 08, 2007

Registered at 22835 KELLY RD, EASTPOINTE, MI 480212073 (Tel: 5867784400)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN COLOMBO, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #JC026758 in MI)

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Initial NPI Registration & Enumeration March 01, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629106851
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 01, 2007
Last Update: July 08, 2007
Deactivation Date: March 18, 2019

Mailing Address

22835 Kelly Rd

Eastpointe, MI 480212073

Phone: 5867784400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.