Active NPI
Matthew C. Rheinboldt, MD
- Diagnostic Radiology Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 085399
- Practice address
- 2799 W. Grand Blvd
Henry Ford Dept of Radiology
Detroit, MI 48202-2689 - Phone
- (313) 916-7425
- NPI assigned
- Dec 1, 2006
- Last updated
- Dec 8, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 085399 | MI | Primary |
Addresses
Primary practice location
2799 W. Grand Blvd
Henry Ford Dept of Radiology
Detroit, MI 48202-2689
Mailing address
2799 W. Grand Blvd
Henry Ford Dept of Radiology
Detroit, MI 48202-2689
Phone (313) 916-7425
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MR085399 | Other | CHAMPUS-CHAMPUS | |
| MR085399 | Other | COMMERCIAL-COMMERCIAL NUMBER | |
| 473171010 | Medicaid | MI | |
| 700H262300 | Other | BLUE CROSS-BLUE CROSS |
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
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Vanderbilt University School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15717 15 Mile Rd
Clinton Township, MI 48035-2101
Phone (586) 285-3800
16258 Fort St
Southgate, MI 48195-1401
Phone (734) 250-9062
26763 Ford Rd
Dearborn Heights, MI 48127-2840
Phone (313) 827-1022
27897 Woodward Ave
Berkley, MI 48072-0907
Phone (248) 397-6196
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600
30795 23 Mile Rd
Chesterfield, MI 48047-5720
Phone (586) 421-3000
40463 S Groesbeck Hwy
Clinton Township, MI 48036-5005
Phone (586) 300-9114
71050 Van Dyke Rd
Bruce TWP, MI 48065-3898
Phone (586) 277-0244
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085399 | MI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Macomb Hospital Corporation | Diagnostic Radiology | Current | Accepting new patients |
| VHS Physicians of Michigan | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Henry Ford Macomb Hospital Corporation | Current | Accepting new patients | |
| Henry Ford Urgent Care | Current | Accepting new patients | |
| Radadvantage a Professional Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Hurley Medical Center | Current | Accepting new patients | |
| Henry Ford Health System | Diagnostic Radiology | Current | Accepting new patients |
| Henry Ford Macomb Hospital Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Hurley Medical Center | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Hurley Medical Center | Current | Accepting new patients | |
| Southwest Imaging Associates, Apmc | Diagnostic Radiology | Past | Accepting new patients |
Locations
15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800
15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300
1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500
1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227
4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615
6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300
1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000
11166 Highland Rd
Hartland, MI 48353
Phone (248) 455-0865
Interoperability endpoints
- mrheinboldt16830@direct.hfhs.org
Organizations & group practices 13
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.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
dba Henry Ford GoHealth Urgent Care
- Urgent Care Clinic/Center
- Detroit, MI
- NPI 1184389876
-
dba Henry Ford Macomb Family Medicine
- Family Medicine Physician
- Clinton TWP, MI
- NPI 1134265986
-
dba Hurley OB/GYN Research & Education
- Obstetrics & Gynecology Physician
- Flint, MI
- NPI 1982630844
-
dba DMC Medical Group
- Internal Medicine Physician
- Southfield, MI
- NPI 1073827101
-
- Diagnostic Radiology Physician
- Phoenix, AZ
- NPI 1376719666
MI
-
- Diagnostic Radiology Physician
- Detroit, MI
- NPI 1508942681
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
dba Henry Ford Health Macomb Hospital
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
Diagnostic Radiology
-
dba Henry Ford Macomb Hospital
- Hospice and Palliative Medicine (Emergency Medicine) Physician
- Clinton Township, MI
- NPI 1598802936
Diagnostic Radiology
-
dba Hurley Internal Medicine Research & Education
- Internal Medicine Physician
- Flint, MI
- NPI 1427092998
-
- Plastic and Reconstructive Surgery Physician
- Flint, MI
- NPI 1689345761
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
dba Henry Ford West Bloomfield Hospital
- General Acute Care Hospital
- West Bloomfield, MI
- NPI 1407867559
-
dba Henry Ford Health Macomb Hospital
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- General Acute Care Hospital
- Warren, MI
- NPI 1902842735
-
dba Henry Ford Allegiance Health
- General Acute Care Hospital
- Jackson, MI
- NPI 1053403402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260230400000",
"number": "1659449395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2799 W. GRAND BLVD",
"address_2": "HENRY FORD DEPT OF RADIOLOGY",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022689",
"telephone_number": "313-916-7425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2799 W. GRAND BLVD",
"address_2": "HENRY FORD DEPT OF RADIOLOGY",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022689",
"telephone_number": "313-916-7425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHEINBOLDT",
"first_name": "MATTHEW",
"middle_name": "C.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2009-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "085399",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS-CHAMPUS",
"identifier": "MR085399",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL-COMMERCIAL NUMBER",
"identifier": "MR085399",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "473171010",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-BLUE CROSS",
"identifier": "700H262300",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
- Natalie Reynolds
- Stewart Reynolds
- Berta Rezik, M.D.
- Mohamed Rezik, D.O
- RGH Enterprises, LLC (Edgepark Medical Supplies)
- Rhema - Northwest Operating LLC (Manor of Northwest Detroit)
- Rhema Northwest Operating LLC (Manor of Northwest Detroit Skilled Nursing and Rehabilitation)
- Sook Ja Rhim, M.D.
- RHLL, LLC
- Joshua Doyle Rhodenizer, DPM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.