NPIMap

Individual provider Active NPI

Rachel Maryann Klamo, D.O.

  • Family Medicine Physician
  • Oxford, MI
National Provider Identifier
1497953533
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101022084 Issued in MI
Practice address
72 South Washington St.
Suite 204
Oxford, MI 48371
Phone
(248) 628-2233
Fax
(248) 628-2384
NPI assigned
Jul 10, 2007
Last updated
Apr 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125052054 IL
Family Medicine Physician 207Q00000X 5101022084 MI Primary

Addresses

Primary practice location

72 South Washington St.
Suite 204
Oxford, MI 48371

Mailing address

72 South Washington St.
Suite 204
Oxford, MI 48371
Phone (248) 628-2233

Other practice location 1

1135 W University Dr
Suite 250
Rochester, MI 48307-1886
Phone (248) 650-6301

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
I20150710001328 MI Practitioner - Family Practice 3274689856 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

72 S Washington St
Suite 204
Oxford, MI 48371-6424
Phone (248) 628-2233

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125052054ILMDFamily Medicine Physician
5101022084MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Rochester Hospital Family Medicine CurrentSince Jul 1, 2018 Accepting new patients
Henry Ford Health Rochester Hospital Current Accepting new patients
Henry Ford Health Rochester Hospital CurrentSince Jul 1, 2018 Accepting new patients
Oxford Urgent Care P L C CurrentSince Apr 14, 2018 Accepting new patients
Lakeside Urgent Care, P. C. Current Accepting new patients
Lakeside Urgent Care, P.C. CurrentSince Apr 14, 2018 Accepting new patients

Locations

44472 Hayes Rd
Clinton Twp, MI 48038
Phone (586) 412-0890

72 S Washington St
Ste 102
Oxford, MI 48371
Phone (248) 236-8333

72 S Washington St
Ste 204
Oxford, MI 48371
Phone (248) 328-2233

1135 W University Dr
Ste 250
Rochester Hills, MI 48307
Phone (248) 650-6301

1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4

Organizations & group practices 6

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 4

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": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1497953533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 SOUTH WASHINGTON ST.",
            "address_2": "SUITE 204",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "48371",
            "telephone_number": "248-628-2233",
            "fax_number": "248-628-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 SOUTH WASHINGTON ST.",
            "address_2": "SUITE 204",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "48371",
            "telephone_number": "248-628-2233",
            "fax_number": "248-628-2384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1135 W University Dr",
            "address_2": "Suite 250",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MI",
            "postal_code": "483071886",
            "country_code": "US",
            "telephone_number": "248-650-6301",
            "fax_number": "248-650-5486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLAMO",
        "first_name": "RACHEL",
        "middle_name": "MARYANN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125052054",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101022084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MI

Sources for this page

Verify at the official NPI Registry.