Active NPI
Michaele C Oostendorp, DO
- Internal Medicine Physician
- Riverview, MI
National Provider Identifier
1154329423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 5101012716
- Practice address
- 14700 King Rd
Ste a
Riverview, MI 48193-7909 - Phone
- (734) 479-1944
- Fax
- (734) 479-1253
- NPI assigned
- Jul 12, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5101012716 | MI | Primary |
Addresses
Primary practice location
14700 King Rd
Ste a
Riverview, MI 48193-7909
Mailing address
14700 King Rd
Ste a
Riverview, MI 48193-7909
Phone (734) 479-1944
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114235480 | Medicaid | MI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14700 King Rd
Suite a
Riverview, MI 48193-7909
Phone (734) 479-1944
Hospital & facility affiliations
- Beaumont Home Health
- Residential Home Health
- Corewell Health Trenton Hospital
- Beaumont Hospital - Dearborn
- Beaumont Hospital - Taylor
- Wyandotte Hospital and Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Downriver Internal Medicine, PC | Internal Medicine | Current | Accepting new patients |
| Downriver Internal Medicine PC | Internal Medicine | Current | Accepting new patients |
Locations
14700 King Rd
Ste A
Riverview, MI 48193
Phone (734) 479-1944
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.
-
- Internal Medicine Physician
- Riverview, MI
- NPI 1417160698
-
- Internal Medicine Physician
- Riverview, MI
- NPI 1760480859
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Troy, MI
- NPI 1811461734
-
- Ambulatory Surgical Clinic/Center
- Wyandotte, MI
- NPI 1093901035
Hospital
-
- General Acute Care Hospital
- Wyandotte, MI
- NPI 1992725352
-
- General Acute Care Hospital
- Taylor, MI
- NPI 1487605168
-
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
-
- General Acute Care Hospital
- Trenton, MI
- NPI 1740230648
-
- Home Health Agency
- Troy, MI
- NPI 1992768550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348704000000",
"number": "1154329423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14700 KING RD",
"address_2": "STE A",
"city": "RIVERVIEW",
"state": "MI",
"postal_code": "481937909",
"telephone_number": "734-479-1944",
"fax_number": "734-479-1253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14700 KING RD",
"address_2": "STE A",
"city": "RIVERVIEW",
"state": "MI",
"postal_code": "481937909",
"telephone_number": "734-479-1944",
"fax_number": "734-479-1253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OOSTENDORP",
"first_name": "MICHAELE",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-12",
"last_updated": "2012-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "5101012716",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114235480",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Riverview, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.