Active NPI
Ernesto R Drelichman, MD
- Colon & Rectal Surgery Physician
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 26148
- Practice address
- 16001 W 9 Mile Rd
3Rd Floor Fisher
Southfield, MI 48075-4818 - Phone
- (248) 849-6030
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 26148 | AL | Primary |
Addresses
Primary practice location
16001 W 9 Mile Rd
3Rd Floor Fisher
Southfield, MI 48075-4818
Mailing address
16001 W 9 Mile Rd
3Rd Floor Fisher
Southfield, MI 48075-4818
Phone (248) 849-6030
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00153440 | Other | AL | RAILROAD MEDICARE |
| 009968565 | Medicaid | AL | |
| 020F364690 | Other | MI | BCBSM |
| 009964605 | Medicaid | AL | |
| 051524168 | Other | AL | BLUE CROSS |
| 051524172 | Other | AL | BLUE CROSS |
| 1801839899 | Medicaid | MI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Colorectal Surgery (Proctology)
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1135 W University Dr
Suite 355
Rochester, MI 48307-1871
Phone (248) 793-8900
43900 Garfield Rd
Suite 222
Clinton Township, MI 48038-1137
Phone (586) 286-0050
Hospital & facility affiliations
- Ascension Providence Hospital, Southfield and Novi
- Henry Ford Health St John Hospital
- Ascension Providence Rochester Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 89 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26148 | AL | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health Providence Hospital | Colon & Rectal Surgery | Current | Accepting new patients |
| Henry Ford Health Providence Hospital | Current | Accepting new patients | |
| Henry Ford Cornerstone Medical Group | Current | Accepting new patients | |
| Healox Health PLLC | Current | Accepting new patients | |
| Henry Ford Health Providence Hospital | Past | Accepting new patients | |
| Critical Care Surgeons PLLC | Past | Accepting new patients | |
| Podiatry Professionals of Michigan PLLC | Past | Accepting new patients |
Locations
4260 Van Dyke Rd
Ste 102
Almont, MI 48003
Phone (810) 798-3994
43900 Garfield Rd
Ste 222
Clinton Twp, MI 48038
Phone (586) 263-1234
46591 Romeo Plank Rd
Ste 133
Macomb, MI 48044
Phone (586) 226-6161
46591 Romeo Plank Rd
Ste 107
Macomb, MI 48044
Phone (586) 226-6080
47601 Grand River Ave
Novi, MI 48374
Phone (248) 465-4100
1901 Star Batt Dr
Ste 200
Rochester Hills, MI 48309
Phone (248) 844-5690
16001 W 9 Mile Rd
Fl 3
Southfield, MI 48075
Phone (248) 849-2600
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000
16001 W 9 Mile Rd
Fl 5
Southfield, MI 48075
Phone (248) 380-4335
29201 Telegraph Rd
Ste 200
Southfield, MI 48034
Phone (248) 357-5000
16001 W 9 Mile Rd
#3
Southfield, MI 48075
Phone (248) 384-9260
Interoperability endpoints
- edrelichman1125607@direct.hfhs.org
- ernesto.drelichman.2@8209.direct.athenahealth.com
- https://fhir-myrecord.cerner.com/r4/mQjCqHb5rkr1u1foU4dqhQPBpi7Qk9R4/
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Clinton Township, MI
- NPI 1851765374
-
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Southfield, MI
- NPI 1376159491
-
- Surgery Physician
- Southfield, MI
- NPI 1942265236
Colon & Rectal Surgery
-
- Trauma Surgery Physician
- Detroit, MI
- NPI 1730415753
-
- Pediatrics Physician
- Southfield, MI
- NPI 1265497226
-
- Trauma Surgery Physician
- Detroit, MI
- NPI 1710213731
-
- General Acute Care Hospital
- Novi, MI
- NPI 1144210253
-
- Foot & Ankle Surgery Podiatrist
- Southfield, MI
- NPI 1699408906
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Novi, MI
- NPI 1144210253
-
- General Acute Care Hospital
- Rochester, MI
- NPI 1437176203
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316131200000",
"number": "1801839899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16001 W 9 MILE RD",
"address_2": "3RD FLOOR FISHER",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754818",
"telephone_number": "248-849-6030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16001 W 9 MILE RD",
"address_2": "3RD FLOOR FISHER",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754818",
"telephone_number": "248-849-6030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRELICHMAN",
"first_name": "ERNESTO",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2011-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "AL",
"license": "26148",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00153440",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009968565",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "020F364690",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009964605",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051524168",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051524172",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1801839899",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.