Eugene Rontal, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

4301028146 Issued in MI

Practice address

33533 W 12 Mile Rd Ste 190
Farmington Hills, MI 48331-5636

Phone

(248) 865-3327

Fax

(248) 737-0636

NPI assigned

Apr 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Oakland Medical Services, P.C.

  • Otolaryngology Physician
  • Royal Oak, MI
  • NPI 1114028263

  MI, Otolaryngology

  Medicare reassignment NPD
• Spectrum Health Hospitals

  • Urgent Care Clinic/Center
  • Grand Rapids, MI
  • NPI 1598712390
  NPD (past)

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1790749000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33533 W 12 MILE RD STE 190",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483315636",
            "telephone_number": "248-865-3327",
            "fax_number": "248-737-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33533 W 12 MILE RD STE 190",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483315636",
            "telephone_number": "248-865-3327",
            "fax_number": "248-737-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONTAL",
        "first_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301028146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2650004",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI0239",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taron Roney
• Destiny Ronning
• Lauren Ronning
• Samantha Ronquillo
• Liam Ronstadt
• Kathlyn Rook
• Kristin Rook
• Christina Alivia Rooks
• Root Hair & Wellness Spa
• Charlene Rooy

• All providers in Farmington Hills, MI
• Otolaryngology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.