Individual provider Active NPI

Dorin Deitch, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Novi, MI
National Provider Identifier
1194174615
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
5101022597 Issued in MI
Practice address
42350 Grand River Ave
Novi, MI 48375-1838
Phone
(248) 697-2942
Fax
(248) 436-6628
NPI assigned
Jun 6, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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 5101022597 MI Primary

Addresses

Primary practice location

42350 Grand River Ave
Novi, MI 48375-1838

Mailing address

42350 Grand River Ave
Novi, MI 48375-1838
Phone (248) 697-2942

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
I20210512001736 MI Practitioner - Physical Medicine and Rehabilitation 2860761657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Nova Southeastern Univ College of Dental Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restorative Physical Medicine PLLC 20 clinicians

Practice addresses (Care Compare)

42350 Grand River Ave
Novi, MI 48375-1838
Phone (248) 697-2942

Hospital & facility affiliations

  • John Paul Home Health Care Home health agency, Bingham Farms, MI, CCN 237659
  • Straith Hospital for Special Surgery Hospital, Southfield, MI, CCN 230071
  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151
  • Insight Hospital and Medical Center Coldwater Hospital, Coldwater, MI, CCN 230022
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
  • Rehabilitation Institute of Michigan Inpatient rehabilitation facility, Detroit, MI, CCN 233027

Merit-based Incentive Payment System (MIPS)

Final score
88.73 of 100Reported as group
Quality
78.82
Improvement activities
40
Cost
73.51

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Straith Hospital for Special Surgery Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dorin.deitch.1@11987.direct.athenahealth.com

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1194174615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42350 GRAND RIVER AVE",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751838",
            "telephone_number": "248-697-2942",
            "fax_number": "248-436-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42350 GRAND RIVER AVE",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751838",
            "telephone_number": "248-697-2942",
            "fax_number": "248-436-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEITCH",
        "first_name": "DORIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-06",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5101022597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.