NPIMap

Individual provider Active NPI

Virginia Remedio, NP

  • Nurse Practitioner
  • Redford, MI
National Provider Identifier
1407059884
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704170335 Issued in MI
Practice address
24224 Joy Rd
Suite 101
Redford, MI 48239
Phone
(734) 656-6663
Fax
(313) 565-6632
NPI assigned
Jun 6, 2007
Last updated
Jul 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704170335 MI Primary
Adult Health Nurse Practitioner 363LA2200X 4704170335 MI

Addresses

Primary practice location

24224 Joy Rd
Suite 101
Redford, MI 48239

Mailing address

39353 Heatherbrook Dr
Farmington Hills, MI 48331-2918
Phone (313) 565-6663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040823000904 MI Practitioner - Nurse Practitioner 4284608563 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Nabil Metwally MD PCGroup PAC ID 1951301886, 5 clinicians

Practice addresses (Care Compare)

24224 Joy Rd
Suite 101
Redford, MI 48239-1215
Phone (313) 565-6663

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704170335MIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Nurse Practitioner CurrentSince Mar 26, 2009 Accepting new patients
Parvez Khan MD PC, CurrentSince Oct 1, 2018 Accepting new patients
Henry Ford Wyandotte Hospital Nurse Practitioner CurrentSince Apr 17, 2023 Accepting new patients
Henry Ford Wyandotte Hospital CurrentSince Apr 17, 2023 Accepting new patients
Henry Ford Wyandotte Hospital Current Accepting new patients
Nabil Metwally MD PC CurrentSince Mar 28, 2015 Accepting new patients
Henry Ford Health System CurrentSince Mar 26, 2009 Accepting new patients
Kavitha Ponduri MD PC PastSince Jan 10, 1998 Accepting new patients
Kashif Qureshi MD PC Past Accepting new patients
Henry Ford Wyandotte Hospital Past Accepting new patients
Ppom Past Accepting new patients

Locations

831 Monroe St
Ste B
Dearborn, MI 48124
Phone (313) 274-1800

861 Monroe St
Dearborn, MI 48124
Phone (313) 274-1800

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

24224 Joy Rd
Ste 101
Redford, MI 48239
Phone (248) 305-6154

2070 Biddle Ave
Ste 2
Wyandotte, MI 48192
Phone (734) 284-7482

2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000

Interoperability endpoints

  • Direct secure messaging: vremedio15642@direct.hfhs.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1407059884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39353 HEATHERBROOK DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483312918",
            "telephone_number": "313-565-6663",
            "fax_number": "313-565-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24224 JOY RD",
            "address_2": "SUITE 101",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "48239",
            "telephone_number": "734-656-6663",
            "fax_number": "313-565-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMEDIO",
        "first_name": "VIRGINIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704170335",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704170335",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redford, MI

Sources for this page

Verify at the official NPI Registry.