Active NPI
Regina T Noack, M.D.
- Emergency Medicine Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4301071403
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103490184 | Medicaid | MI | |
| 104144546 | Medicaid | MI | |
| RN071403 | Other | MI | BC/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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Michigan Medical School, 1994
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Get Well Urgent Care Sterling Heights PLC | Current | Accepting new patients | |
| Southfield City Urgent Care PC | Current | Accepting new patients | |
| Get Well Urgent Care Pontiac PLC | Current | Accepting new patients | |
| Hoover Urgent Care of Warren PLLC | Current | Accepting new patients | |
| Get Well Urgent Care Dearborn Heights PLC | Current | Accepting new patients | |
| Oak Park Urgent Care PLLC | Current | 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
- 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.
-
- Urgent Care Clinic/Center
- Pontiac, MI
- NPI 1740999077
-
- Urgent Care Clinic/Center
- Oak Park, MI
- NPI 1770980385
-
- Urgent Care Clinic/Center
- Detroit, MI
- NPI 1225728215
-
- Urgent Care Clinic/Center
- Dearborn Heights, MI
- NPI 1871204578
-
- Urgent Care Clinic/Center
- Sterling Heights, MI
- NPI 1891381232
-
- Urgent Care Clinic/Center
- Warren, MI
- NPI 1821351610
-
- Urgent Care Clinic/Center
- Southfield, MI
- NPI 1811278716
-
- General Practice Physician
- Keego Harbor, MI
- NPI 1174617948
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.