Individual provider Active NPI

Todd W Rexford, MD

  • Family Medicine Physician
  • Norton Shores, MI
National Provider Identifier
1740284330
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
TR054549 Issued in MI
Practice address
1450 Farr Rd
Ste 2000
Norton Shores, MI 49444-8797
Phone
(231) 638-1414
Fax
(231) 216-7630
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TR054549 MI Primary

Addresses

Primary practice location

1450 Farr Rd
Ste 2000
Norton Shores, MI 49444-8797

Mailing address

1361 Forest Park Rd
Norton Shores, MI 49441-4638
Phone (231) 638-1414

Other identifiers 1

IdentifierTypeStateIssuer
104556404MedicaidMI

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
I20031223000747 MI Practitioner - Family Practice 9335047653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Human Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3579 Henry St
Suite 140
Norton Shores, MI 49441-6716
Phone (231) 215-5046

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy25
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TR054549MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeshore Concierge Medicine PLLC Family Medicine CurrentSince Feb 1, 2021 Accepting new patients
Advantage Health Saint Mary'S Medical Group Past Accepting new patients
HPCN Family Medicine Past Accepting new patients

Locations

1450 Farr Rd
Ste 2000
Norton Shores, MI 49444
Phone (231) 638-1414

3579 Henry St
Ste 140
Norton Shores, MI 49441
Phone (231) 215-5046

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23527/brand/1/csg/1/fhir/r4
  • Direct secure messaging: todd.rexford.1@23527.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1740284330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 FOREST PARK RD",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494414638",
            "telephone_number": "231-638-1414",
            "fax_number": "231-216-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 FARR RD",
            "address_2": "STE 2000",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494448797",
            "telephone_number": "231-638-1414",
            "fax_number": "231-216-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REXFORD",
        "first_name": "TODD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "TR054549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104556404",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton Shores, MI

Sources for this page

Verify at the official NPI Registry.