Active NPI
Robert E Reid II, M.D.
- Internal Medicine Physician
- Madison Heights, MI
National Provider Identifier
1306947486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301080013
- Practice address
- 27301 Dequindre Rd
Suite 314
Madison Heights, MI 48071-3473 - Phone
- (248) 399-4400
- Fax
- (248) 399-4840
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301080013 | MI | Primary |
Addresses
Primary practice location
27301 Dequindre Rd
Suite 314
Madison Heights, MI 48071-3473
Mailing address
813 Royal Ave
Royal Oak, MI 48073-3272
Phone (248) 549-5053
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38-2877787 | Other | MI | FEDERAL TAX ID |
| 700H217350 | Other | MI | BLUE SHIELD GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakland Medical Group PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba In Patient Cardiology
- Cardiovascular Disease Physician
- Madison Heights, MI
- NPI 1730262106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362528000000",
"number": "1306947486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "813 ROYAL AVE",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480733272",
"telephone_number": "248-549-5053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27301 DEQUINDRE RD",
"address_2": "SUITE 314",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "480713473",
"telephone_number": "248-399-4400",
"fax_number": "248-399-4840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "ROBERT",
"middle_name": "E",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2013-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301080013",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX ID",
"identifier": "38-2877787",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD GROUP",
"identifier": "700H217350",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.