Individual provider Active NPI

Cristina Cotronei-Cascardo, MD

  • Allergy Physician
  • Detroit, MI
National Provider Identifier
1275550287
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
CC078218 Issued in MI
Practice address
3950 Beaubien - 3Rd FL
Childrens Hospital of Mi
Detroit, MI 48201-2119
Phone
(313) 832-8550
Fax
(313) 993-8685
NPI assigned
Jul 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X CC078218 MI Primary

Addresses

Primary practice location

3950 Beaubien - 3Rd FL
Childrens Hospital of Mi
Detroit, MI 48201-2119

Mailing address

4201 St. Antoine - Uhc 5D Mailbox 226
University Pediatricians
Detroit, MI 48201-2153
Phone (313) 745-4405

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
I20061024000303 MI Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 8729085329 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wayne Pediatrics, IncGroup PAC ID 4486062122, 3 clinicians

Practice addresses (Care Compare)

2140 Washtenaw Rd
Ypsilanti, MI 48197-1708
Phone (734) 434-5430

400 Mack Ave
Suite 1
Detroit, MI 48201-2136
Phone (313) 448-9600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CC078218MIMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Pediatrics Inc. CurrentSince Mar 15, 2022 Accepting new patients
University Pediatricians CurrentSince Sep 6, 2006 Accepting new patients
University Pediatricians CurrentSince Sep 6, 2006 Accepting new patients
Resilience Healthcare - Lakefront Medical Associates, LLC PastSince Mar 15, 2022 Accepting new patients

Locations

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

3950 Beaubien St
Fl 3
Detroit, MI 48201
Phone (313) 832-8550

400 Mack Ave
Ste 1
Detroit, MI 48201
Phone (313) 448-9600

400 Mack Ave
Ste 9
Detroit, MI 48201

Interoperability endpoints

  • Direct secure messaging: ccotronei701357@direct.hfhs.org
  • Direct secure messaging: ccotrone@direct.dmc.org

Organizations & group practices 5

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 1

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1275550287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 ST. ANTOINE - UHC 5D MAILBOX 226",
            "address_2": "UNIVERSITY PEDIATRICIANS",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-745-4405",
            "fax_number": "313-966-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 BEAUBIEN - 3RD FL",
            "address_2": "CHILDRENS HOSPITAL OF MI",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012119",
            "telephone_number": "313-832-8550",
            "fax_number": "313-993-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTRONEI-CASCARDO",
        "first_name": "CRISTINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MI",
            "license": "CC078218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.