Regina Elizabeth Rizk, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

PP052769 Issued in MI

Practice address

100 North Pond Drive
Suite E
Walled Lake, MI 48390

Phone

(248) 669-2273

Fax

(248) 926-8624

NPI assigned

Sep 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: rrizk1149209@direct.hfhs.org
• FHIR API: https://api.platform.athenahealth.com/14132/brand/1/csg/1/fhir/r4
• Direct secure messaging: regina.rizk.1@14132.direct.athenahealth.com

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.

• Oakland Pediatrics, PLC

  • Pediatrics Physician
  • Walled Lake, MI
  • NPI 1528155264
  NPD (past) Authorized official

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205935020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NORTH POND DRIVE",
            "address_2": "SUITE E",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "48390",
            "telephone_number": "248-669-2273",
            "fax_number": "248-926-8624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NORTH POND DRIVE",
            "address_2": "SUITE E",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "48390",
            "telephone_number": "248-669-2273",
            "fax_number": "248-926-8624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZK",
        "first_name": "REGINA",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "PP052769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0639787",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAP",
            "identifier": "F70284",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4292137",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Professional OBGYN PC
• Amy Kathleen Pruneau, LLP
• Christina Sharon Dhanam Reuben
• Rick J Deroven DDS PC
• Ryan P Rivamonte, DDS
• Rostker Recreational Therapy Services LLC
• Gregory Mark Rostker, CTRS
• Stephanie R Roth
• Maranda Camille Rowland
• Breana Noreen Rozbicki

• Pediatrics Physician in Walled Lake, MI
• Providers in Walled Lake, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.