Individual provider Active NPI

Rachal Marie Mittleman, M.D.

  • Internal Medicine Physician
  • Oxford, MI
National Provider Identifier
1336359140
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301093140 Issued in MI
Practice address
51 S Washington St Ste G
Oxford, MI 48371-6418
Phone
(248) 940-1211
Fax
(248) 963-5257
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301093140 MI
Internal Medicine Physician 207R00000X 4301093140 MI Primary

Addresses

Primary practice location

51 S Washington St Ste G
Oxford, MI 48371-6418

Mailing address

51 S Washington St Ste G
Oxford, MI 48371-6418
Phone (248) 940-1211

Other identifiers 1

IdentifierTypeStateIssuer
3000597MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2025 through Jan 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301093140MIMDInternal Medicine Physician
MD0000041709TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Francis J. Fenaughty MD, P.C. 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.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1336359140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 S WASHINGTON ST STE G",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483716418",
            "telephone_number": "248-940-1211",
            "fax_number": "248-963-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 S WASHINGTON ST STE G",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483716418",
            "telephone_number": "248-940-1211",
            "fax_number": "248-963-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTLEMAN",
        "first_name": "RACHAL",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301093140",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301093140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3000597",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MI

Sources for this page

Verify at the official NPI Registry.