Individual provider Active NPI

Stanley Remer, D.O.

  • General Practice Physician
  • Madison Heights, MI
National Provider Identifier
1235113374
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
5101006446 Issued in MI
Practice address
28180 John R Rd
Madison Heights, MI 48071-2850
Phone
(248) 336-0500
Fax
(248) 336-2979
NPI assigned
Dec 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 5101006446 MI Primary

Addresses

Primary practice location

28180 John R Rd
Madison Heights, MI 48071-2850

Mailing address

1385 E 12 Mile Rd
Ste 100
Madison Heights, MI 48071-2618
Phone (248) 336-0500

Other identifiers 5

IdentifierTypeStateIssuer
125593OtherMICARE-PREFERRED CHOICES
700H217350OtherMIBLUE SHIELD
E26763OtherMIHAP
C3868OtherMIM'CARE
1235113374MedicaidMI

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
I20061128000406 MI Practitioner - General PracticePractitioner - Family Practice 0648216382 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC General Practice CurrentSince Nov 1, 2011 Accepting new patients
Michigan Healthcare Professionals PC General Practice CurrentSince Nov 1, 2011 Accepting new patients

Locations

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

28180 John R Rd
Madison Hts, MI 48071
Phone (248) 291-5236

27301 Dequindre Rd
Ste 314
Madison Hts, MI 48071
Phone (248) 399-4400

1385 E 12 Mile Rd
Ste 100
Madison Hts, MI 48071
Phone (248) 399-6090

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

25241 Grand River Ave
Redford, MI 48240
Phone (313) 538-3099

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.

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1235113374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 E 12 MILE RD",
            "address_2": "STE 100",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712618",
            "telephone_number": "248-336-0500",
            "fax_number": "248-336-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28180 JOHN R RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712850",
            "telephone_number": "248-336-0500",
            "fax_number": "248-336-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMER",
        "first_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "5101006446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE-PREFERRED CHOICES",
            "identifier": "125593",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "700H217350",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "E26763",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M'CARE",
            "identifier": "C3868",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235113374",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

Verify at the official NPI Registry.