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

Rojin Edward Callo Teodoro, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1831714278

Rojin Edward Callo Teodoro, PHYSICIANASSISTANT is a Physician Assistant in Livonia, Michigan. Qualified in 2019, 7 years ago. Practices with Michigan Sports and Spine Center PC, a 5-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2020
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Practice location Address checks out

18312 Middlebelt Rd
Livonia, MI 48152-5007
Phone: (248) 680-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601009838 (MI)

Record details

NPI number1831714278
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJune 11, 2020
Last updated in NPPESJune 11, 2020
Certification dateJune 11, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Michigan Sports And Spine Center Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Livonia