Individual provider Active NPI

Regina T Noack, M.D.

  • Emergency Medicine Physician
  • Detroit, MI
National Provider Identifier
1447219670
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301071403 Issued in MI
Practice address
6071 W Outer Dr
Detroit, MI 48235-2624
Phone
(313) 966-3300
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 4301071403 MI
Emergency Medicine Physician 207P00000X 4301071403 MI Primary

Addresses

Primary practice location

6071 W Outer Dr
Detroit, MI 48235-2624

Mailing address

4201 Saint Antoine St Ste 3R
Detroit, MI 48201-2153

Other identifiers 3

IdentifierTypeStateIssuer
103490184MedicaidMI
104144546MedicaidMI
RN071403OtherMIBC/BS OF MI

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
I20100813001019 MI Practitioner - Emergency Medicine 3173657095 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Michigan Medical School, 1994
Medicare assignment
May accept Medicare assignment
Group practices
Get Well Urgent Care Detroit PLCGroup PAC ID 0941657126, 15 clinicians
Oak Park Urgent Care PLLCGroup PAC ID 6305169988, 23 clinicians
Get Well Urgent Care Pontiac PLCGroup PAC ID 2961872726, 16 clinicians

Practice addresses (Care Compare)

19335 Grand River Ave
Detroit, MI 48223-1201
Phone (313) 955-0000

24661 Coolidge Hwy
Oak Park, MI 48237-1449
Phone (248) 398-4000

983 Orchard Lake Rd
Pontiac, MI 48341-2785
Phone (248) 900-9970

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Get Well Urgent Care Sterling Heights PLC CurrentSince Mar 13, 2024 Accepting new patients
Southfield City Urgent Care PC CurrentSince Mar 13, 2024 Accepting new patients
Get Well Urgent Care Pontiac PLC CurrentSince Mar 13, 2024 Accepting new patients
Hoover Urgent Care of Warren PLLC CurrentSince Mar 13, 2024 Accepting new patients
Get Well Urgent Care Dearborn Heights PLC CurrentSince Oct 1, 2024 Accepting new patients
Oak Park Urgent Care PLLC CurrentSince Mar 13, 2024 Accepting new patients
Garg and Associates Inc Past Accepting new patients

Locations

24950 W Warren St
Dearborn Heights, MI 48127
Phone (313) 595-2000

19335 Grand River Ave
Detroit, MI 48223
Phone (313) 794-8780

24661 Coolidge Hwy
Oak Park, MI 48237
Phone (248) 398-4000

23832 Southfield Rd
Southfield, MI 48075
Phone (248) 443-8089

2567 Metropolitan Pkwy
Sterling Hts, MI 48310
Phone (586) 574-0000

26000 Hoover Rd
Warren, MI 48089
Phone (586) 722-0707

Interoperability endpoints

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

Organizations & group practices 8

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1447219670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST STE 3R",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6071 W OUTER DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352624",
            "telephone_number": "313-966-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOACK",
        "first_name": "REGINA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MI",
            "license": "4301071403",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301071403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103490184",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104144546",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MI",
            "identifier": "RN071403",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.