Active NPI
Rudolph P. Valentini, M.D.
- Pediatric Nephrology Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nephrology Physician
- License
- 4301060863
- Practice address
- Childrens Hospital of Michigan
3901 Beaubien Blvd - Nephrology
Detroit, MI 48201 - Phone
- (313) 745-5604
- Fax
- (313) 966-0039
- NPI assigned
- Jun 8, 2006
- Last updated
- Jan 20, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Nephrology Physician | 2080P0210X | 4301060863 | MI | Primary |
Addresses
Primary practice location
Childrens Hospital of Michigan
3901 Beaubien Blvd - Nephrology
Detroit, MI 48201
Mailing address
4201 St. Antoine - Uhc 5D Mailbox 226
University Pediatricians
Detroit, MI 48201-2153
Phone (313) 745-4405
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 700H262280 | Other | BLUE CROSS-BLUE CROSS | |
| RV060863 | Other | CHAMPUS-CHAMPUS | |
| RV060863 | Other | COMMERCIAL-COMMERCIAL NUMBER | |
| 339919310 | 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
- Nephrology
- Education
- Wayne State University School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3901 Beaubien St
Detroit, MI 48201-2119
Phone (313) 745-5870
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301060863 | MI | MD | Pediatric Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Pediatricians | Current | Accepting new patients | |
| University Pediatricians | Current | Accepting new patients | |
| University Pediatricians | Current | Accepting new patients | |
| VHS Childrens Hospital of Michigan Inc | Past | Accepting new patients |
Locations
42700 Garfield Rd
Ste 100
Clinton Twp, MI 48038
Phone (586) 532-3401
3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227
3950 Beaubien St
Fl 3
Detroit, MI 48201
Phone (313) 832-8550
Interoperability endpoints
- rvalenti@direct.dmc.org
Organizations & group practices 4
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.
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dba Childrens Hospital of Michigan
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- NPI 1538471800
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": "1484870400000",
"number": "1164463600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 ST. ANTOINE - UHC 5D MAILBOX 226",
"address_2": "UNIVERSITY PEDIATRICIANS",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012153",
"telephone_number": "313-745-4405",
"fax_number": "313-966-0665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CHILDRENS HOSPITAL OF MICHIGAN",
"address_2": "3901 BEAUBIEN BLVD - NEPHROLOGY",
"city": "DETROIT",
"state": "MI",
"postal_code": "48201",
"telephone_number": "313-745-5604",
"fax_number": "313-966-0039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENTINI",
"first_name": "RUDOLPH",
"middle_name": "P.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2017-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0210X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Nephrology",
"state": "MI",
"license": "4301060863",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-BLUE CROSS",
"identifier": "700H262280",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS-CHAMPUS",
"identifier": "RV060863",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL-COMMERCIAL NUMBER",
"identifier": "RV060863",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "339919310",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.