Individual provider Active NPI

Milagros Pagaduan Reyes, MD

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1386684843
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301031275 Issued in MI
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

Updated by the provider on Jul 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
440Q263940OtherBLUE CROSS-BLUE CROSS
MR031275OtherCOMMERCIAL-COMMERCIAL NUMBER
MR031275OtherCHAMPUS-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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060707000076 MI Practitioner - Infectious DiseasePractitioner - Internal Medicine 7911919162 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Group Internal Medicine CurrentSince Oct 1, 2006 Accepting new patients
Latha T Kannan, MD, PC Infectious Disease CurrentSince Dec 1, 2024 Accepting new patients
University Physician Group CurrentSince Oct 1, 2006 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

  • Direct secure messaging: mreyes3@direct.dmc.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.