Individual provider Active NPI

Stacy Rene Loree, D.O.

  • Cardiovascular Disease Physician
  • Bloomfield Hills, MI
National Provider Identifier
1740577790
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
5101019160 Issued in MI
Practice address
42557 Woodward Ave Ste 200
Bloomfield Hills, MI 48304-5206
Phone
(248) 333-1170
Fax
(248) 333-1175
NPI assigned
Jun 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101019160 MI
Cardiovascular Disease Physician 207RC0000X 5101019160 MI Primary

Addresses

Primary practice location

42557 Woodward Ave Ste 200
Bloomfield Hills, MI 48304-5206

Mailing address

42557 Woodward Ave Ste 200
Bloomfield Hills, MI 48304-5206
Phone (248) 333-1170

Other practice location 1

50 N Perry St
Pontiac, MI 48342-2217
Phone (248) 338-5000

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
I20171010001279 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4385887264 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Michigan State University College of Human Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SJMH Medical Practice-SMHCGroup PAC ID 8628965175, 27 clinicians

Practice addresses (Care Compare)

42557 Woodward Ave
Bloomfield Hills, MI 48304-5206
Phone (248) 322-0083

42557 Woodward Ave
200 Cardiology and Vascular Associates
Bloomfield Hills, MI 48304-5308
Phone (248) 333-1170

44405 Woodward Ave
Pontiac, MI 48341-5023
Phone (248) 858-6101

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SJMH Medical Practice-SMHC CurrentSince Jul 1, 2021 Accepting new patients
SJMH Medical Practice-SMHC Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Michigan Healthcare Professionals PC Internal Medicine CurrentSince Apr 1, 2020 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Apr 1, 2020 Accepting new patients
Heart Care PC Cardiovascular Disease CurrentSince Aug 28, 2021 Accepting new patients

Locations

42557 Woodward Ave
Ste 100
Bloomfield Hills, MI 48304
Phone (248) 333-1172

42557 Woodward Ave
Ste 200
Bloomfield Hills, MI 48304
Phone (248) 322-0083

42557 Woodward Ave
Ste 120
Bloomfield Hills, MI 48304

5701 Bow Pointe Dr
Ste 210
Clarkston, MI 48346
Phone (248) 384-8201

8391 Commerce Rd
Ste 105
Commerce Twp, MI 48382
Phone (248) 360-4747

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

51 S Washington St
Ste G
Oxford, MI 48371
Phone (248) 625-2621

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

4000 Highland Rd
Ste 109
Waterford, MI 48328
Phone (248) 682-9480

6889 Highland Rd
Waterford, MI 48327
Phone (248) 666-5200

Interoperability endpoints

  • Direct secure messaging: sloree383023@direct.hfhs.org
  • Direct secure messaging: stacy.loree.p1@direct.cava.nextgenshare.com
  • Direct secure messaging: sloree21754@direct.trinity-health.org
  • FHIR API: https://api.platform.athenahealth.com/20439/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 6

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": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1740577790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42557 WOODWARD AVE STE 200",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483045206",
            "telephone_number": "248-333-1170",
            "fax_number": "248-333-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42557 WOODWARD AVE STE 200",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483045206",
            "telephone_number": "248-333-1170",
            "fax_number": "248-333-1175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 N Perry St",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "483422217",
            "country_code": "US",
            "telephone_number": "248-338-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOREE",
        "first_name": "STACY",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101019160",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "5101019160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.