Active NPI
Rinu Liju Mathew, CNP
- Acute Care Nurse Practitioner
- Sterling Heights, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 4704253827
- Practice address
- 43401 Schoenherr Rd
Sterling Heights, MI 48313-1961 - Phone
- (586) 488-3636
- Fax
- (586) 488-3635
- NPI assigned
- Sep 14, 2012
- Last updated
- Jul 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 4704253827 | MI | Primary |
Addresses
Primary practice location
43401 Schoenherr Rd
Sterling Heights, MI 48313-1961
Mailing address
43401 Schoenherr Rd
Sterling Heights, MI 48313-1961
Phone (586) 488-3636
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wkolepain@directaddress.net | Direct | Chronic Pain Consultants, P.C. |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
43401 Schoenherr Rd
Sterling Heights, MI 48313-1961
Phone 58648836367
5456 15 Mile Rd
Suite 101
Sterling Heights, MI 48310-5110
Phone (313) 743-2300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialty Medical Center Inc | Current | Accepting new patients | |
| Chronic Pain Consultants, P.C. | Current | Accepting new patients | |
| Specialty Medical Center Inc | Past | Accepting new patients |
Locations
43171 Dalcoma Dr
Ste 3
Clinton Twp, MI 48038
Phone (586) 286-0639
13530 Michigan Ave
Ste 110
Dearborn, MI 48126
Phone (248) 844-8281
43401 Schoenherr Rd
Sterling Hts, MI 48313
Phone (586) 488-3636
44056 Mound Rd
Ste 105
Sterling Hts, MI 48314
Phone (586) 540-1094
5456 15 Mile Rd
Ste 101
Sterling Hts, MI 48310
Phone (313) 743-2300
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Interventional Pain Medicine Physician
- Sterling Heights, MI
- NPI 1952337503
-
dba Specialty Regeneratives
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Dearborn, MI
- NPI 1285341537
-
- Urgent Care Clinic/Center
- Dearborn, MI
- NPI 1366126559
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Henry Ford Health Macomb Hospital
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- General Acute Care Hospital
- Warren, MI
- NPI 1902842735
-
dba Beaumont Hospital, Troy
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657756800000",
"number": "1255681458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43401 SCHOENHERR RD",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483131961",
"telephone_number": "586-488-3636",
"fax_number": "586-488-3635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43401 SCHOENHERR RD",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483131961",
"telephone_number": "586-488-3636",
"fax_number": "586-488-3635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "RINU",
"middle_name": "LIJU",
"name_prefix": "Ms.",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-14",
"last_updated": "2022-07-14",
"certification_date": "2022-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MI",
"license": "4704253827",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wkolepain@directaddress.net",
"affiliation": "Y",
"endpointDescription": "Direct messaging address for office",
"affiliationName": "Chronic Pain Consultants, P.C.",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Other",
"address_1": "43401 Schoenherr Rd",
"city": "Sterling Heights",
"state": "MI",
"country_code": "US",
"postal_code": "483131961",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.