Active NPI
Regal Pediatrics
- Pediatric Adolescent Medicine Physician
- Rochester Hills, MI
National Provider Identifier
1114006368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- Legal business name
- REGAL PEDIATRICS
- Practice address
- 2502 S Rochester Rd
Rochester Hills, MI 48307-3817 - Phone
- (248) 852-5177
- Fax
- (248) 852-5424
- NPI assigned
- Nov 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mahmound Elghoroury, M.D.
- Title
- Owner
- Phone
- (248) 852-5177
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | Primary |
Addresses
Primary practice location
2502 S Rochester Rd
Rochester Hills, MI 48307-3817
Mailing address
2502 S Rochester Rd
Rochester Hills, MI 48307-3817
Phone (248) 852-5177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3303835 | Medicaid | MI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1114006368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2502 S ROCHESTER RD",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483073817",
"telephone_number": "248-852-5177",
"fax_number": "248-852-5424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2502 S ROCHESTER RD",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483073817",
"telephone_number": "248-852-5177",
"fax_number": "248-852-5424"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGAL PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ELGHOROURY",
"authorized_official_first_name": "MAHMOUND",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-852-5177",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Adolescent Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3303835",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester Hills, MI
- Preetham Y Reddy, MD
- V. Meenalochani Reddy, M.D.
- Judith Canvasser Redmond, LLP, LPC, MA
- Karolina Maria Redziniak, MA, TLLP
- Regal After Hours Clinic PC
- Melanie A Regan, PT
- Regents of the Univ of Michigan Heart Surgery Program Critteton
- Rehab Lab LLC
- Carol Leigh Rembor, M.S., A.P.R.N., B.C.
- Jeffrey Remer
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.