NPIMap

Individual provider Active NPI

Helen Etemadi, DO

  • Obstetrics & Gynecology Physician
  • Riverview, MI
National Provider Identifier
1215917133
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5101012713 Issued in MI
Practice address
14450 King Rd
Riverview, MI 48193-7939
Phone
(734) 479-2100
Fax
(734) 479-2199
NPI assigned
Jan 18, 2006
Last updated
Jul 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5101012713 MI Primary

Addresses

Primary practice location

14450 King Rd
Riverview, MI 48193-7939

Mailing address

13331 Mulberry TRL
Taylor, MI 48180-6345
Phone (734) 374-3132

Other practice location 1

5450 Fort St
Trenton, MI 48183-4601
Phone (734) 671-3800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hetemadi112527@direct.beaumont.edu

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
I20040306000133 MI Practitioner - Obstetrics/Gynecology 8224926787 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Osteopathic Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14450 King Rd
Riverview, MI 48193-7939
Phone (734) 479-2100

14700 King Rd C
Riverview, MI 48193-7909

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101012713MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Ambulatory LLC Obstetrics & Gynecology CurrentSince Feb 1, 2017 Accepting new patients
Oakwood Ambulatory, LLC CurrentSince Feb 1, 2017 Accepting new patients
Henry Ford Wyandotte Hospital CurrentSince Jan 22, 2013 Accepting new patients
Beaumont Medical Group Hospital -Based Services CurrentSince Aug 29, 2018 Accepting new patients
Henry Ford Wyandotte Hospital Obstetrics & Gynecology CurrentSince Jan 22, 2013 Accepting new patients
OBGYN Healthcare PC Obstetrics & Gynecology Past Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients

Locations

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

18101 Oakwood Blvd
Fl 1
Dearborn, MI 48124
Phone (313) 436-2898

15777 Northline Rd
Southgate, MI 48195
Phone (734) 246-8100

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

5450 Fort St
Woodhaven, MI 48183
Phone (734) 671-3297

2070 Biddle Ave
Ste 2
Wyandotte, MI 48192
Phone (734) 284-7482

Interoperability endpoints

  • Direct secure messaging: hetemadi112527@direct.beaumont.edu
  • Direct secure messaging: hetemadi1232866@epic00.shdirect.org
  • Direct secure messaging: hetemadi58439@direct.hfhs.org

Organizations & group practices 8

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 6

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1215917133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13331 MULBERRY TRL",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481806345",
            "telephone_number": "734-374-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14450 KING RD",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937939",
            "telephone_number": "734-479-2100",
            "fax_number": "734-479-2199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5450 Fort St",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "MI",
            "postal_code": "481834601",
            "country_code": "US",
            "telephone_number": "734-671-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ETEMADI",
        "first_name": "HELEN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101012713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hetemadi112527@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "5450 Fort St",
            "city": "Trenton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481834601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverview, MI

Sources for this page

Verify at the official NPI Registry.