Individual provider Active NPI

Renee Ann Villaluz, D.O.

  • Surgery Physician
  • Madison Heights, MI
National Provider Identifier
1588865406
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5101017263 Issued in MI
Practice address
27483 Dequindre Rd
#301
Madison Heights, MI 48071-3491
Phone
(248) 546-2600
Fax
(248) 546-2604
NPI assigned
May 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5101017263 MI Primary

Addresses

Primary practice location

27483 Dequindre Rd
#301
Madison Heights, MI 48071-3491

Mailing address

27483 Dequindre Rd
#301
Madison Heights, MI 48071-3491
Phone (248) 546-2600

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
I20120830000590 MI Practitioner - General Surgery 3072760701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Lake Erie College of Osteopathic Medicine, Erie, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

27900 Grand River Ave
Suite 220
Farmington Hills, MI 48336-5965
Phone (248) 477-0552

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101017263MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC CurrentSince Mar 1, 2015 Accepting new patients
Michigan Healthcare Professionals PC Current Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Mar 1, 2015 Accepting new patients
Premier Health and Wellness Center Past Accepting new patients
Henry Ford Health Macomb Oakland Hospital Past Accepting new patients

Locations

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

27483 Dequindre Rd
Ste 301
Madison Hts, MI 48071
Phone (248) 543-4000

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

1135 W University Dr
Ste 240
Rochester, MI 48307
Phone (248) 212-0116

27650 Dequindre Rd
Ste 3100
Warren, MI 48092
Phone (248) 546-2600

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1588865406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27483 DEQUINDRE RD",
            "address_2": "#301",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713491",
            "telephone_number": "248-546-2600",
            "fax_number": "248-546-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27483 DEQUINDRE RD",
            "address_2": "#301",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713491",
            "telephone_number": "248-546-2600",
            "fax_number": "248-546-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALUZ",
        "first_name": "RENEE",
        "middle_name": "ANN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101017263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

Verify at the official NPI Registry.