Active NPI
Rachal Marie Mittleman, M.D.
- Internal Medicine Physician
- Oxford, MI
National Provider Identifier
1336359140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301093140
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3000597 | Medicaid | TN |
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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4301093140 | MI | MD | Internal Medicine Physician |
| MD0000041709 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Emergency Medicine Physician
- Germantown, TN
- NPI 1437141538
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.