Individual provider Active NPI

Lori Riutta, NP-C

  • Adult Health Nurse Practitioner
  • Berkley, MI
National Provider Identifier
1770880239
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704245868 Issued in MI
Practice address
Beaumont Geriatric Services
1949 W 12 Mile Road, Ste 100
Berkley, MI 48072-1868
Phone
(248) 551-1756
NPI assigned
Feb 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704245868 MI Primary

Addresses

Primary practice location

Beaumont Geriatric Services
1949 W 12 Mile Road, Ste 100
Berkley, MI 48072-1868

Mailing address

1703 Cresthill Ave
Royal Oak, MI 48073
Phone (248) 778-7923

Other practice location 1

15101 Ford Rd
Dearborn, MI 48126-4611
Phone (313) 582-2769

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lriutta120067@direct.beaumont.edu

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110328000686 MI Practitioner - Nurse Practitioner 1153504279 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Healthcare, Inc CurrentSince Apr 1, 2014 Accepting new patients
Oakwood Healthcare Inc CurrentSince Apr 1, 2014 Accepting new patients
Oakwood Ambulatory, LLC CurrentSince Jun 20, 2011 Accepting new patients
William Beaumont Hospital Current Accepting new patients
Oakwood Ambulatory LLC CurrentSince Jun 20, 2011 Accepting new patients
Oakwood Healthcare, Inc. Current Accepting new patients
Inpatient Consultants of Michigan PC Past Accepting new patients

Locations

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

1949 W 12 Mile Rd
Ste 100
Berkley, MI 48072
Phone (248) 551-0615

15101 Ford Rd
Dearborn, MI 48126
Phone (313) 582-2769

468 Cadieux Rd
Grosse Pt Wds, MI 48230
Phone (313) 343-1000

3601 W 13 Mile Rd
Royal Oak, MI 48073

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000

Interoperability endpoints

  • Direct secure messaging: lriutta120067@direct.beaumont.edu
  • Direct secure messaging: lriutta1253022@epic00.shdirect.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1770880239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 CRESTHILL AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "48073",
            "telephone_number": "248-778-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BEAUMONT GERIATRIC SERVICES",
            "address_2": "1949 W 12 MILE ROAD, STE 100",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721868",
            "telephone_number": "248-551-1756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15101 Ford Rd",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481264611",
            "country_code": "US",
            "telephone_number": "313-582-2769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIUTTA",
        "first_name": "LORI",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-18",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704245868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lriutta120067@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "Beaumont Geriatric Services",
            "address_2": "1949 W 12 Mile Road, Ste 100",
            "city": "Berkley",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480721868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Berkley, MI

Sources for this page

Verify at the official NPI Registry.