Rene D Loredo, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

036164 Issued in MI

Practice address

1101 W University Dr
Radiology Dept
Rochester, MI 48307-1863

Phone

(248) 652-5325

Fax

(248) 652-9731

NPI assigned

Jul 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Rochester Radiology PC

  • Diagnostic Radiology Physician
  • Rochester, MI
  • NPI 1265457931
  Authorized official Same address or phone
• Crittenton Cancer Center

  • Radiation Oncology Physician
  • Rochester, MI
  • NPI 1538185996
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245255918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W UNIVERSITY DR",
            "address_2": "RADIOLOGY DEPT",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071863",
            "telephone_number": "248-652-5325",
            "fax_number": "248-652-9731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W UNIVERSITY DR",
            "address_2": "RADIOLOGY DEPT",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071863",
            "telephone_number": "248-652-5325",
            "fax_number": "248-652-9731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOREDO",
        "first_name": "RENE",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "036164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2730197",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Elizabeth Lemasters, R.D.
• Lynn Ann Leonhard, M.A.,CCC-SLP
• Linda M Bull PLLC
• Nathalie Linenfelser
• Catherine Loniewski Girdler, D.O.
• Kimberly Dawn Lowen, PT
• Luna Optical
• Elizabeth Poikey Luoma, APRN, CRNA
• Kristen Lutsch, OTRL
• Lux Esto Pediatric Therapy LLC

• Diagnostic Radiology Physician in Rochester, MI
• Providers in Rochester, MI by specialty
• Diagnostic Radiology 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.