Individual provider Active NPI

Kathleen A Rheaume, M.D.

  • Family Medicine Physician
  • Chesterfield, MI
National Provider Identifier
1548255672
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
KR058573 Issued in MI
Practice address
34301 23 Mile Rd
Suite 100
Chesterfield, MI 48047-4432
Phone
(586) 725-1770
Fax
(586) 725-4080
NPI assigned
Sep 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X KR058573 MI Primary

Addresses

Primary practice location

34301 23 Mile Rd
Suite 100
Chesterfield, MI 48047-4432

Mailing address

43455 Schoenherr Rd
Ste 2
Sterling Heights, MI 48313-1972
Phone (586) 598-2900

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
I20091211000650 MI Practitioner - Family Practice 5698815215 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
KR058573MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Pine Medical Group PLC Family Medicine CurrentSince May 1, 2019 Accepting new patients

Locations

31225 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 598-2900

13860 Canal Rd
Sterling Heights, MI 48313
Phone (248) 254-8900

43455 Schoenherr Rd
Ste 2
Sterling Hts, MI 48313
Phone (586) 884-2712

Interoperability endpoints

  • Direct secure messaging: kathleenrheaume@spmgsh.allscriptsdirect.net

Organizations & group practices 1

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": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1548255672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43455 SCHOENHERR RD",
            "address_2": "STE 2",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131972",
            "telephone_number": "586-598-2900",
            "fax_number": "586-598-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34301 23 MILE RD",
            "address_2": "SUITE 100",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480474432",
            "telephone_number": "586-725-1770",
            "fax_number": "586-725-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHEAUME",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "KR058573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

Verify at the official NPI Registry.