Rema Palissery Menon, P.A

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601005227 Issued in MI

Practice address

41267 Scarborough LN
Novi, MI 48375-2892

Phone

(248) 987-6252

NPI assigned

Jul 2, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rema Palissery Menon Other name

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: rmenon1246593@epic00.shdirect.org

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.

• Associated Physicians Group PLC

  • Internal Medicine Physician
  • Berkley, MI
  • NPI 1447794102
  Medicare reassignment
• Tricity Medical Centers, P.C.

  • Obstetrics & Gynecology Physician
  • Dearborn, MI
  • NPI 1922054485
  NPD (past)

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267401600000",
    "number": "1669634499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41267 SCARBOROUGH LN",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752892",
            "telephone_number": "248-987-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41267 SCARBOROUGH LN",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752892",
            "telephone_number": "248-987-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENON",
        "first_name": "REMA",
        "middle_name": "PALISSERY",
        "credential": "P.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2010-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601005227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN'S ASSISTANT LINCENSE",
            "identifier": "5601005227",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REMA",
            "last_name": "MENON",
            "middle_name": "PALISSERY",
            "credential": "P.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kimberly Mendoza
• Samantha Mendoza
• Marijo Mendyk
• Crystal Menicola
• Jennifer E Menko
• Mental Care LLC
• Jennifer Menz
• Anthony Joseph Meram, D.O.
• Alice Mercer
• Bria N Meredith

• Medical Physician Assistant in Novi, MI
• Providers in Novi, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; 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.

Verify at the official NPI Registry.