Individual provider Active NPI

Vilma Drelichman, MD

  • Infectious Disease Physician
  • Southfield, MI
National Provider Identifier
1013957893
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
VD041488 Issued in MI
Practice address
22301 Foster Winter Dr
2ND Floor
Southfield, MI 48075-3707
Phone
(248) 552-0620
Fax
(248) 552-0286
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X VD041488 MI Primary

Addresses

Primary practice location

22301 Foster Winter Dr
2ND Floor
Southfield, MI 48075-3707

Mailing address

22301 Foster Winter Dr
2ND Floor
Southfield, MI 48075-3707
Phone (248) 552-0620

Other identifiers 1

IdentifierTypeStateIssuer
101679062MedicaidMI

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
I20100604001070 MI Practitioner - Infectious Disease 4880614718 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

29201 Telegraph Rd
Suite 200a
Southfield, MI 48034-7645
Phone (248) 419-3474

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
VD041488MIMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension St John Hospital Infectious Disease CurrentSince Jun 1, 2011 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Jun 1, 2011 Accepting new patients

Locations

31500 Telegraph Rd
Ste 10
Bingham Farms, MI 48025
Phone (248) 594-3201

31500 Telegraph Rd
Ste 010
Bingham Farms, MI 48025
Phone (248) 594-3201

31500 Telegraph Rd
Ste 225
Bingham Farms, MI 48025
Phone (248) 381-4600

47601 Grand River Ave
Novi, MI 48374
Phone (248) 465-4100

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

22301 Foster Winter Dr
Fl 3RD
Southfield, MI 48075
Phone (248) 424-3321

22301 Foster Winter Dr
Southfield, MI 48075
Phone (248) 849-3541

22301 Foster Winter Dr
Ste 200
Southfield, MI 48075
Phone (248) 424-3186

22301 Foster Winter Dr
Fl 2ND
Southfield, MI 48075

Interoperability endpoints

  • Direct secure messaging: vdrelichman1125609@direct.hfhs.org

Organizations & group practices 5

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297900800000",
    "number": "1013957893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22301 FOSTER WINTER DR",
            "address_2": "2ND FLOOR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753707",
            "telephone_number": "248-552-0620",
            "fax_number": "248-552-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22301 FOSTER WINTER DR",
            "address_2": "2ND FLOOR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753707",
            "telephone_number": "248-552-0620",
            "fax_number": "248-552-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRELICHMAN",
        "first_name": "VILMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2011-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MI",
            "license": "VD041488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101679062",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.