Active NPI
Rennard B Tucker, M.D.
- Diagnostic Radiology Physician
- Royal Oak, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 4301057577
- Practice address
- 3601 W 13 Mile Rd
Royal Oak, MI 48073-6769 - Phone
- (248) 423-3144
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 4301057577 | MI | Primary |
Addresses
Primary practice location
3601 W 13 Mile Rd
Royal Oak, MI 48073-6769
Mailing address
3601 W 13 Mile Rd
400 FSC - PCS
Royal Oak, MI 48073-6769
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4505254 | Medicaid | MI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Wayne State University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (947) 521-8196
3555 W 13 Mile Rd
N120 Corewell Health William Beaumont Unive
Royal Oak, MI 48073-6710
Phone (248) 551-1550
3577 W 13 Mile Rd
Royal Oak, MI 48073-6710
3581 W 13 Mile Rd BCC
Beaumont Breast Care Center Ro
Royal Oak, MI 48073-6710
Phone (248) 551-3300
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
3601 W 13 Mile Rd Ec
Beaumont Emergency Services Ro
Royal Oak, MI 48073-6712
Phone (248) 898-0575
44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-1187
44201 Dequindre Rd Ec
Beaumont Emergency Services TR
Troy, MI 48085-1117
Phone (248) 964-5111
44250 Dequindre Rd
Sterling Heights, MI 48314-1002
Phone (248) 964-5190
Hospital & facility affiliations
- Beaumont Hospital Royal Oak
- Beaumont Hospital, Troy
- Beaumont Hospital - Grosse Pointe
- Henry Ford Health Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.64 of 100
- Quality
- 85.06
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301057577 | MI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaumont Medical Group Hospital -Based Services | Current | Accepting new patients | |
| Dr L Reynolds Assoc PC | Past | Accepting new patients | |
| VHS Physicians of Michigan | Past | Accepting new patients | |
| Beaumont Special Radiological Procedures | Diagnostic Radiology | Past | Accepting new patients |
Locations
3601 W 13 Mile Rd
#400
Royal Oak, MI 48073
Phone (248) 423-2481
3601 W 13 Mile Rd
Royal Oak, MI 48073
44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255
Interoperability endpoints
- rtucker1458234@epic00.shdirect.org
Organizations & group practices 4
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.
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1427567858
-
- Diagnostic Radiology Physician
- Royal Oak, MI
- NPI 1043220205
-
- Specialist
- Southfield, MI
- NPI 1669423265
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1073827101
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1811044878
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1356301246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 W 13 MILE RD",
"address_2": "400 FSC - PCS",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 W 13 MILE RD",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736769",
"telephone_number": "248-423-3144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "RENNARD",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301057577",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4505254",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.