NPIMap

Individual provider Active NPI

Emily Ren, M.D.

  • Orthopaedic Surgery Physician
  • Livonia, MI
National Provider Identifier
1205128931
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4301110660 Issued in MI
Practice address
36622 Five Mile Rd
Livonia, MI 48154-1900
Phone
(586) 439-6232
NPI assigned
May 13, 2011
Last updated
May 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4301110660 MI Primary

Addresses

Primary practice location

36622 Five Mile Rd
Livonia, MI 48154-1900

Mailing address

36622 Five Mile Rd
Livonia, MI 48154-1900

Other practice location 1

311 Mack Ave Fl 5
Detroit, MI 48201-2466
Phone (313) 832-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160712000478 MI Practitioner - Orthopedic Surgery 2163727389 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Wayne State University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center MidlandGroup PAC ID 2264323633, 507 clinicians

Practice addresses (Care Compare)

4401 Campus Ridge Dr
Suite 2200
Midland, MI 48640-6127
Phone (989) 837-9280

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301110660MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Physicians of Michigan CurrentSince May 12, 2019 Accepting new patients
McLaren Central Michigan Current Accepting new patients
McLaren Central Michigan CurrentSince Jan 9, 2023 Accepting new patients
McLaren Central Michigan CurrentSince Jan 9, 2023 Accepting new patients

Locations

311 Mack Ave
Detroit, MI 48201
Phone (313) 745-8792

311 Mack Ave
Fl 5
Detroit, MI 48201
Phone (313) 832-0500

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300

555 W Wackerly St
Ste 2600
Midland, MI 48640
Phone (866) 625-3570

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

560 W Mitchell St
Ste 560
Petoskey, MI 49770
Phone (231) 487-5400

Interoperability endpoints

  • Direct secure messaging: eren137690@mymichiganhealth.midirect.net
  • Direct secure messaging: eren37564@direct.trinity-health.org

Organizations & group practices 5

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 8

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": "1305244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1205128931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36622 FIVE MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36622 FIVE MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541900",
            "telephone_number": "586-439-6232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 Mack Ave Fl 5",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012466",
            "country_code": "US",
            "telephone_number": "313-832-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REN",
        "first_name": "EMILY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-13",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301110660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.