Individual provider Active NPI

Errol Glenn Elrington, MD

  • Internal Medicine Physician
  • Redford, MI
National Provider Identifier
1568469294
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301030303 Issued in MI
Practice address
26611 W 7 Mile Rd
Suite B
Redford, MI 48240-2063
Phone
(313) 274-8419
Fax
(313) 255-3671
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301030303 MI Primary

Addresses

Primary practice location

26611 W 7 Mile Rd
Suite B
Redford, MI 48240-2063

Mailing address

6895 Reliable Parkway
#6895
Chicago, IL 60688-0001
Phone (313) 255-6500

Other identifiers 1

IdentifierTypeStateIssuer
4443670MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301030303MIMDInternal Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240963200000",
    "number": "1568469294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6895 RELIABLE PARKWAY",
            "address_2": "#6895",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606880001",
            "telephone_number": "313-255-6500",
            "fax_number": "313-255-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26611 W 7 MILE RD",
            "address_2": "SUITE B",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482402063",
            "telephone_number": "313-274-8419",
            "fax_number": "313-255-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELRINGTON",
        "first_name": "ERROL",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2009-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301030303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4443670",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.