Active NPI
Vicente Redondo, MD
- Infectious Disease Physician
- Sterling Heights, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 4301048942
- Practice address
- 43134 Dequindre Rd
Sterling Heights, MI 48314-1723 - Phone
- (586) 446-8688
- Fax
- (586) 446-9994
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301048942 | MI | |
| Infectious Disease Physician | 207RI0200X | 4301048942 | MI | Primary |
Addresses
Primary practice location
43134 Dequindre Rd
Sterling Heights, MI 48314-1723
Mailing address
46661 Fields Dr
Shelby TWP, MI 48315-5135
Phone (586) 932-6331
Other practice location 1
11800 E 12 Mile Rd
Warren, MI 48093-3472
Phone (586) 932-6331
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1105026191 | Other | MI | BCBSMI PERSONAL PIN |
| VR048942 | Other | MI | LICENSE PIN |
| 2878632 | Medicaid | MI | |
| 4749062 | Medicaid | MI |
Other names 1
- Vicente Redondo-Lopez
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060228000123 | MI | Practitioner - Infectious Disease | 4880600907 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Metro Infectious Disease Consultants LLC
Practice addresses (Care Compare)
1000 Harrington St
Mount Clemens, MI 48043-2920
Phone (888) 220-6432
11800 E 12 Mile Rd
Warren, MI 48093-3472
Phone (888) 220-6432
1231 Pine Grove Ave
Suite 1B
Port Huron, MI 48060-3500
Phone (810) 996-1993
15474 N Haggerty Rd
Plymouth, MI 48170-4893
Phone (734) 335-6103
19991 Hall Rd
Suite 105
Macomb, MI 48044-4254
Phone (888) 220-6432
43134 Dequindre Rd
Sterling Heights, MI 48314-1723
Phone (586) 446-8688
4805 Towne Centre Rd
Suite 103
Saginaw, MI 48604-2831
Phone (877) 448-3627
Hospital & facility affiliations
- Henry Ford Health Warren Hospital
- McLaren Macomb
- Beaumont Hospital, Troy
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301048942 | MI | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Infectious Disease Consultants, LLC | Infectious Disease | Current | Accepting new patients |
| Schoenherr Medical Assoicates PC | Internal Medicine | Current | Accepting new patients |
| Metro Infectious Disease Consultants LLC | Infectious Disease | Current | Accepting new patients |
| Metro Infectious Disease Consultants, LLC | Infectious Disease | Past | Accepting new patients |
Locations
901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201
19991 Hall Rd
Ste 105
Macomb, MI 48044
Phone (586) 247-8609
1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727
15474 N Haggerty Rd
Plymouth, MI 48170
Phone (734) 335-6103
14510 Northline Rd
Southgate, MI 48195
Phone (734) 282-2800
5280 Metropolitan Pkwy
Sterling Heights, MI 48310
Phone (586) 446-8688
43134 Dequindre Rd
Sterling Hts, MI 48314
Phone (586) 446-8688
11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000
27101 Schoenherr Rd
Ste 100
Warren, MI 48088
Phone (586) 298-6796
27101 Schoenherr Rd
Warren, MI 48088
Phone (586) 573-6669
Interoperability endpoints
- vredondo1148784@direct.hfhs.org
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.
-
- Infectious Disease Physician
- Burr Ridge, IL
- NPI 1235125717
Infectious Disease, MI
-
- Infectious Disease Physician
- Jonesboro, GA
- NPI 1770307191
Infectious Disease
-
- Infectious Disease Physician
- Plymouth, MI
- NPI 1841530250
Infectious Disease
-
- Infectious Disease Physician
- Huntsville, AL
- NPI 1659702223
-
- Internal Medicine Physician
- Warren, MI
- NPI 1861426280
Internal Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Warren, MI
- NPI 1124099858
Hospital
-
- General Acute Care Hospital
- Madison Heights, MI
- NPI 1215139233
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555286400000",
"number": "1598865602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46661 FIELDS DR",
"city": "SHELBY TWP",
"state": "MI",
"postal_code": "483155135",
"telephone_number": "586-932-6331",
"fax_number": "586-932-6366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43134 DEQUINDRE RD",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483141723",
"telephone_number": "586-446-8688",
"fax_number": "586-446-9994"
}
],
"practiceLocations": [
{
"address_1": "11800 E 12 Mile Rd",
"address_purpose": "LOCATION",
"city": "Warren",
"state": "MI",
"postal_code": "480933472",
"country_code": "US",
"telephone_number": "586-932-6331",
"fax_number": "586-932-6366",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REDONDO",
"first_name": "VICENTE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2019-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301048942",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "MI",
"license": "4301048942",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMI PERSONAL PIN",
"identifier": "1105026191",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE PIN",
"identifier": "VR048942",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2878632",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4749062",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VICENTE",
"last_name": "REDONDO-LOPEZ",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.