Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alessandro Vivacqua, MD

Individual provider Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1639333198

Alessandro Vivacqua, MD is a Cardiac Surgery in Royal Oak, Michigan. Qualified in 1999, 27 years ago. Practices with Beaumont Medical Group- Specialty Services, a 858-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
27
Licensed in
MI
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3601 W 13 Mile Rd Ernst Cardiovascular Ctr
Royal Oak, MI 48073-6712
Phone: (248) 898-0123
Fax: (248) 898-0124
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 44250 Dequindre Rd, Sterling Heights, MI 48314-1002 — (248) 964-9715

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence 4301108165 (MI)

Record details

NPI number1639333198
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 14, 2008
Last updated in NPPESJuly 10, 2023
Certification dateJuly 10, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIAC SURGERY
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Beaumont Medical Group- Specialty Services — 858 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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