Individual provider Active NPI

Ron Matthew Israel, DO

  • Psychiatry Physician
  • Livonia, MI
National Provider Identifier
1225666159
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
5101028558 Issued in MI
Practice address
20010 Farmington Rd
Livonia, MI 48152-1408
Phone
(248) 471-7171
Fax
(248) 471-1212
NPI assigned
Mar 27, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OS20781 FL
Psychiatry Physician 2084P0800X 5101028558 MI Primary

Addresses

Primary practice location

20010 Farmington Rd
Livonia, MI 48152-1408

Mailing address

20010 Farmington Rd
Livonia, MI 48152-1408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, MA, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20250926003717 MI Practitioner - Osteopathic Manipulative Medicine 6406351691 Reassigns benefits to 1 organization
I20260317004635 MA Practitioner - Psychiatry 6406351691 Reassigns benefits to 1 organization
I20260327002549 FL Practitioner - Psychiatry 6406351691 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Psychiatric Services, P.L.C.Group PAC ID 9234151366, 11 clinicians
Boston Neurobehavioral Associates, LLCGroup PAC ID 9436142429, 159 clinicians

Practice addresses (Care Compare)

20010 Farmington Rd
Livonia, MI 48152-1408
Phone (248) 471-7171

226 Field St
New Bedford, MA 02740-2133
Phone (508) 979-5557

7205 Aloma Ave
Winter Park, FL 32792-7101
Phone (508) 979-5557

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS20781FLMDPsychiatry Physician
5101028558MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Neurobehavioral Associates, LLC Psychiatry CurrentSince Mar 11, 2026 Accepting new patients
Summit Psychiatric Services, P.L.C. CurrentSince Sep 1, 2025 Accepting new patients

Locations

7205 Aloma Ave
Winter Park, FL 32792
Phone (321) 246-2521

226 Field St
New Bedford, MA 02740
Phone (508) 817-5129

20010 Farmington Rd
Livonia, MI 48152
Phone (248) 471-7171

Interoperability endpoints

  • Direct secure messaging: ron.israel@hca4.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1225666159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20010 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20010 FARMINGTON RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521408",
            "telephone_number": "248-471-7171",
            "fax_number": "248-471-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISRAEL",
        "first_name": "RON",
        "middle_name": "MATTHEW",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-27",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS20781",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "5101028558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.