Active NPI
Milagros Pagaduan Reyes, MD
- Internal Medicine Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301031275
- Practice address
- 3990 John R 5 Hudson
Harper Hospital
Detroit, MI 48201-2018 - Phone
- (313) 745-7105
- Fax
- (313) 993-0302
- NPI assigned
- Jun 6, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 4301031275 | MI | |
| Internal Medicine Physician | 207R00000X | 4301031275 | MI | Primary |
Addresses
Primary practice location
3990 John R 5 Hudson
Harper Hospital
Detroit, MI 48201-2018
Mailing address
1560 E Maple Rd
Suite 400-Credentialing
Troy, MI 48083-1138
Phone (313) 745-7105
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 440Q263940 | Other | BLUE CROSS-BLUE CROSS | |
| MR031275 | Other | COMMERCIAL-COMMERCIAL NUMBER | |
| MR031275 | Other | CHAMPUS-CHAMPUS |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Group | Internal Medicine | Current | Accepting new patients |
| Latha T Kannan, MD, PC | Infectious Disease | Current | Accepting new patients |
| University Physician Group | Current | Accepting new patients |
Locations
311 Mack Ave
Fl 5
Detroit, MI 48201
Phone (313) 832-0500
3990 John R St
#5
Detroit, MI 48201
Phone (313) 745-7105
3990 John R St
Detroit, MI 48201
Phone (313) 745-6211
6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
3901 Chrysler Dr
Ste 4A
Detroit, MI 48201
Phone (313) 966-7601
1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200
1560 E Maple Rd
Ste 400
Troy, MI 48083
Interoperability endpoints
- mreyes3@direct.dmc.org
- milagros.reyes@dchc.directbygreenway.com
Organizations & group practices 3
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.
-
- Infectious Disease Physician
- Bloomfield Hills, MI
- NPI 1619170644
-
dba Wayne State University Physician Group
- Occupational Therapist
- Dearborn, MI
- NPI 1851630206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562112000000",
"number": "1386684843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 E MAPLE RD",
"address_2": "SUITE 400-CREDENTIALING",
"city": "TROY",
"state": "MI",
"postal_code": "480831138",
"telephone_number": "313-745-7105",
"fax_number": "313-993-0302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3990 JOHN R 5 HUDSON",
"address_2": "HARPER HOSPITAL",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012018",
"telephone_number": "313-745-7105",
"fax_number": "313-993-0302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "MILAGROS",
"middle_name": "PAGADUAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2019-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "MI",
"license": "4301031275",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301031275",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-BLUE CROSS",
"identifier": "440Q263940",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL-COMMERCIAL NUMBER",
"identifier": "MR031275",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS-CHAMPUS",
"identifier": "MR031275",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.