Individual provider Active NPI

Ronald S Taylor, MD

  • Physical Medicine & Rehabilitation Physician
  • Royal Oak, MI
National Provider Identifier
1053393900
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
4301034263 Issued in MI
Practice address
3535 W 13 Mile Rd
Ste 437
Royal Oak, MI 48073-6710
Phone
(248) 288-2210
Fax
(248) 280-0505
NPI assigned
Nov 16, 2005
Last updated
Dec 17, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 4301034263 MI Primary

Addresses

Primary practice location

3535 W 13 Mile Rd
Ste 437
Royal Oak, MI 48073-6710

Mailing address

3535 W 13 Mile Rd
Ste 437
Royal Oak, MI 48073-6710
Phone (248) 288-2210

Other identifiers 1

IdentifierTypeStateIssuer
1232841MedicaidMI

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
I20100604001157 MI Practitioner - Physical Medicine and Rehabilitation 4688680515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Wayne State University School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LMT Rehabilitation Associates PCGroup PAC ID 0446265268, 30 clinicians

Practice addresses (Care Compare)

3535 W 13 Mile Rd
Royal Oak, MI 48073-6770
Phone (248) 288-2210

4600 Investment Dr
Suite 180
Troy, MI 48098-6365

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
LMT Rehabilitation Associates,PC Physical Medicine & Rehabilitation CurrentSince Mar 15, 1996 Accepting new patients
LMT Rehabilitation Associates,PC CurrentSince Mar 15, 1996 Accepting new patients

Locations

1455 S Lapeer Rd
Ste 103
Lake Orion, MI 48360
Phone (248) 267-5015

1701 South Blvd E
Ste 120
Rochester Hills, MI 48307
Phone (248) 852-0860

3535 W 13 Mile Rd
Ste 437
Royal Oak, MI 48073
Phone (248) 288-2210

4600 Investment Dr
Ste 180
Troy, MI 48098
Phone (248) 288-2210

Organizations & group practices 3

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1053393900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 W 13 MILE RD",
            "address_2": "STE 437",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736710",
            "telephone_number": "248-288-2210",
            "fax_number": "248-280-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 W 13 MILE RD",
            "address_2": "STE 437",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736710",
            "telephone_number": "248-288-2210",
            "fax_number": "248-280-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "RONALD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301034263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1232841",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.