Individual provider Active NPI

Joshua Edward Ruedisueli, PA

  • Physician Assistant
  • Southfield, MI
National Provider Identifier
1326425851
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601007357 Issued in MI
Practice address
16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone
(248) 849-3137
NPI assigned
May 5, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601007357 MI Primary

Addresses

Primary practice location

16001 W 9 Mile Rd
Southfield, MI 48075-4818

Mailing address

231 Arlington Dr
Rochester Hills, MI 48307-2805
Phone (248) 379-1728

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150908001537 MI Practitioner - Physician Assistant 0547576456 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Wayne State University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medpro Primary Care PLLCGroup PAC ID 7416386404, 9 clinicians
Sciometrix LLCGroup PAC ID 7618367087, 58 clinicians
Medpro Urgent Care PLLCGroup PAC ID 9032515333, 9 clinicians

Practice addresses (Care Compare)

21057 Waltz Rd
New Boston, MI 48164-9164
Phone (734) 606-5273

306 S Washington Ave
Suite 600
Royal Oak, MI 48067-3837
Phone (860) 335-5064

31005 John R Rd
Suite a
Madison Heights, MI 48071-1907
Phone (248) 850-8306

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sciometrix LLC CurrentSince Oct 1, 2025 Accepting new patients
Sciometrix Inc CurrentSince Oct 1, 2025 Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients

Locations

306 S Washington Ave
Ste 600
Royal Oak, MI 48067

Interoperability endpoints

  • Direct secure messaging: joshua.ruedisueli.1@21116.direct.athenahealth.com
  • Direct secure messaging: joshuaruedisueli@epicpc.allscriptsdirect.net
  • Direct secure messaging: jruedisueli557433@direct.hfhs.org

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1326425851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 ARLINGTON DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072805",
            "telephone_number": "248-379-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16001 W 9 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754818",
            "telephone_number": "248-849-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUEDISUELI",
        "first_name": "JOSHUA",
        "middle_name": "EDWARD",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.