Active NPI
Arlene A Rozzelle, MD
- Surgery Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301066574
- Practice address
- 3901 Beaubienchildren's
Children's Hospital Plastic Surgery
Detroit, MI 48201-2119 - Phone
- (313) 745-0247
- Fax
- (313) 993-8783
- NPI assigned
- Jun 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301066574 | MI | Primary |
Addresses
Primary practice location
3901 Beaubienchildren's
Children's Hospital Plastic Surgery
Detroit, MI 48201-2119
Mailing address
1560 E Maple Rd
Suite 400 - Credentialing
Troy, MI 48083-1138
Phone (313) 745-0247
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Group | Current | Accepting new patients | |
| VHS Childrens Hospital of Michigan Inc | Past | Accepting new patients | |
| University Physician Group | Past | Accepting new patients |
Locations
3901 Beaubien St
Rm 108
Detroit, MI 48201
Phone (313) 745-0436
4160 John R St
Ste 615
Detroit, MI 48201
Phone (313) 745-5111
3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227
3901 Beaubien St
Fl 3
Detroit, MI 48201
Phone (313) 745-5906
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
1560 E Maple Rd
Ste 400
Troy, MI 48083
Interoperability endpoints
- arozzelle@direct.dmc.org
Organizations & group practices 3
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.
-
dba Wayne State University Physician Group
- Social Worker
- Livonia, MI
- NPI 1154360402
-
dba Childrens Hospital of Michigan
- Children's Hospital
- Detroit, MI
- NPI 1538471800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478649600000",
"number": "1598703688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1560 E MAPLE RD",
"address_2": "SUITE 400 - CREDENTIALING",
"city": "TROY",
"state": "MI",
"postal_code": "480831138",
"telephone_number": "313-745-0247",
"fax_number": "313-993-8783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 BEAUBIENCHILDREN'S",
"address_2": "CHILDREN'S HOSPITAL PLASTIC SURGERY",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012119",
"telephone_number": "313-745-0247",
"fax_number": "313-993-8783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROZZELLE",
"first_name": "ARLENE",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2016-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301066574",
"primary": true
}
],
"identifiers": [],
"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 Nov 9, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.