Individual provider Active NPI

Richard Sherman Fine, MD

  • Pulmonary Disease Physician
  • Grosse Pointe Woods, MI
National Provider Identifier
1376566596
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
035972 Issued in MI
Practice address
794 Canterbury Rd
Grosse Pointe Woods, MI 48236-1280
Phone
(586) 779-9710
Fax
(313) 290-2956
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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 035972 MI Primary

Addresses

Primary practice location

794 Canterbury Rd
Grosse Pointe Woods, MI 48236-1280

Mailing address

794 Canterbury Rd
Grosse Pointe Woods, MI 48236-1280
Phone (586) 779-9710

Other identifiers 1

IdentifierTypeStateIssuer
2108943MedicaidMI

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
I20101217000788 MI Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 9931397908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Wayne State University School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

794 Canterbury Rd
Grosse Pointe Woods, MI 48236-1280
Phone (586) 779-9710

Hospital & facility affiliations

  • Harper University Hospital Hospital, Detroit, MI, CCN 230104
  • Karmanos Cancer Center Hospital, Detroit, MI, CCN 230297

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
035972MIMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard S Fine MD PC Pulmonary Disease CurrentSince Dec 30, 2010 Accepting new patients

Locations

21331 Kelly Rd
Ste 100
Eastpointe, MI 48021
Phone (586) 779-9710

Interoperability endpoints

  • Direct secure messaging: rfine411452@direct.hfhs.org
  • Direct secure messaging: rfine@direct.dmc.org

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.

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1376566596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "794 CANTERBURY RD",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361280",
            "telephone_number": "586-779-9710",
            "fax_number": "313-290-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "794 CANTERBURY RD",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361280",
            "telephone_number": "586-779-9710",
            "fax_number": "313-290-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINE",
        "first_name": "RICHARD",
        "middle_name": "SHERMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "035972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2108943",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Woods, MI

Sources for this page

Verify at the official NPI Registry.