Individual provider Active NPI

Sanford J. Rautbort, M.D.

  • Pulmonary Disease Physician
  • West Bloomfield, MI
National Provider Identifier
1366479677
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4301027320 Issued in MI
Practice address
7399 Middlebelt Rd
Suite # 3
West Bloomfield, MI 48322-4137
Phone
(248) 737-8261
Fax
(248) 737-5115
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 4301027320 MI Primary

Addresses

Primary practice location

7399 Middlebelt Rd
Suite # 3
West Bloomfield, MI 48322-4137

Mailing address

7399 Middlebelt Rd
Suite # 3
West Bloomfield, MI 48322-4137
Phone (248) 737-8261

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100907000077 MI Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 3072637537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Wayne State University School of Medicine, 1960
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6960 Orchard Lake Rd
Suite 311
West Bloomfield, MI 48322-4583
Phone (248) 736-8261

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301027320MIMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chest Specialists, P.C. Pulmonary Disease CurrentSince Sep 1, 2010 Accepting new patients
Senior Health Care Associates, PC Past Accepting new patients

Locations

7399 Middlebelt Rd
Ste 3
West Bloomfield, MI 48322
Phone (248) 737-8261

Organizations & group practices 2

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366479677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7399 MIDDLEBELT RD",
            "address_2": "SUITE # 3",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224137",
            "telephone_number": "248-737-8261",
            "fax_number": "248-737-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7399 MIDDLEBELT RD",
            "address_2": "SUITE # 3",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224137",
            "telephone_number": "248-737-8261",
            "fax_number": "248-737-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUTBORT",
        "first_name": "SANFORD",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301027320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.