Organization Active NPI

Rebecca L. Patrias, MD PLLC

  • Internal Medicine Physician
  • Chelsea, MI
National Provider Identifier
1043318181
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301049128 Issued in MI
Legal business name
REBECCA L. PATRIAS, MD PLLC
Practice address
350 N Main St
Chelsea, MI 48118-1280
Phone
(734) 433-1500
Fax
(734) 433-1400
NPI assigned
Sep 20, 2006
Last updated
Oct 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Authorized official

Name
Rebecca L Patrias, MDNPI 1760594899
Title
Owner
Phone
(734) 433-1500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301049128 MI Primary

Addresses

Primary practice location

350 N Main St
Chelsea, MI 48118-1280

Mailing address

350 N Main St
Chelsea, MI 48118-1280
Phone (734) 433-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061208000069 MI Part B Supplier - Clinic/Group Practice 1658370226 Receives reassigned benefits from 4 practitioners
Practice locations: Chelsea, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1060207Rebecca L Patrias MD LLC350 N Main Street Suite 100, Chelsea, MI 48118Certificate of waiverOct 17, 2026

National Provider Directory

National Provider Directory

Locations

350 N Main St
Chelsea, MI 48118
Phone (734) 277-2468

350 N Main St
Ste 100
Chelsea, MI 48118
Phone (734) 433-1500

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1043318181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N MAIN ST",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181280",
            "telephone_number": "734-433-1500",
            "fax_number": "734-433-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N MAIN ST",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181280",
            "telephone_number": "734-433-1500",
            "fax_number": "734-433-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA L. PATRIAS, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "PATRIAS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-433-1500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301049128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.