Individual provider Active NPI

Ernesto R Drelichman, MD

  • Colon & Rectal Surgery Physician
  • Southfield, MI
National Provider Identifier
1801839899
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
26148 Issued in AL
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

Updated by the provider on Sep 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00153440OtherALRAILROAD MEDICARE
009968565MedicaidAL
020F364690OtherMIBCBSM
009964605MedicaidAL
051524168OtherALBLUE CROSS
051524172OtherALBLUE CROSS
1801839899MedicaidMI

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
I20100721000938 MI Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 8022079326 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Cornerstone Medical GroupGroup PAC ID 7517162761, 65 clinicians

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 Hospital, Southfield, MI, CCN 230019
  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165
  • Ascension Providence Rochester Hospital Hospital, Rochester, MI, CCN 230254

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy89
Upper gastrointestinal (GI) endoscopy for acid reflux14

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26148ALMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Providence Hospital Colon & Rectal Surgery CurrentSince May 11, 2010 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince May 11, 2010 Accepting new patients
Henry Ford Cornerstone Medical Group CurrentSince Feb 1, 2017 Accepting new patients
Healox Health PLLC CurrentSince Jan 15, 2021 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 PastSince Jul 1, 2022 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

  • Direct secure messaging: edrelichman1125607@direct.hfhs.org
  • Direct secure messaging: ernesto.drelichman.2@8209.direct.athenahealth.com
  • FHIR API: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.