Individual provider Active NPI

Rachel Beth Newman, M.D.

  • Pediatrics Physician
  • Charlevoix, MI
National Provider Identifier
1013173392
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
125.054003 Issued in IL
Practice address
14734 Park Ave
Charlevoix, MI 49720-1927
Phone
(231) 547-6554
Fax
(231) 547-1179
NPI assigned
Aug 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 125.054003 IL Primary

Addresses

Primary practice location

14734 Park Ave
Charlevoix, MI 49720-1927

Mailing address

14734 Park Ave
Charlevoix, MI 49720-1927
Phone (231) 547-6554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130115000288 MI Practitioner - Pediatric Medicine 2365695749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Michigan State University College of Human Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kids Creek Childrens Clinic PCGroup PAC ID 2264977693, 3 clinicians

Practice addresses (Care Compare)

5024 N Royal Dr
Traverse City, MI 49684-9230
Phone (231) 935-0555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125.054003ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Creek Childrens Clinic PC Pediatrics CurrentSince May 28, 2024 Accepting new patients
Munson Medical Center Past Accepting new patients

Locations

5024 N Royal Dr
Traverse City, MI 49684
Phone (231) 935-0555

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBICCA
  • Direct secure messaging: rachel.newman@kccc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HBICCA/Endpoint/HBICCA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1013173392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14734 PARK AVE",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497201927",
            "telephone_number": "231-547-6554",
            "fax_number": "231-547-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14734 PARK AVE",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497201927",
            "telephone_number": "231-547-6554",
            "fax_number": "231-547-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "RACHEL",
        "middle_name": "BETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-05",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125.054003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlevoix, MI

Sources for this page

Verify at the official NPI Registry.