Requiem, LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

REQUIEM, LLC

Practice address

543 N Main St Ste 211
Rochester, MI 48307-1485

Phone

(248) 495-2438

NPI assigned

May 9, 2022

Last updated

May 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pierre Charbel Atallah, MD, MS, MBANPI 1306158993

Title

Managing Member

Phone

(248) 495-2438

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pierre Charbel Atallah, M.D.

  • Cardiovascular Disease Physician
  • Rochester, MI
  • NPI 1306158993
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1811633241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 S LIVERNOIS RD # 336",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483071837",
            "telephone_number": "248-495-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 N MAIN ST STE 211",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071485",
            "telephone_number": "248-495-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REQUIEM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "ATALLAH",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_middle_name": "CHARBEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "248-495-2438",
        "authorized_official_credential": "MD, MS, MBA"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20150804334789",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "F34995040",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0931859",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kala Gopal Reddy, M.D.
• Brian K Reedy, M.D.
• Regents of the Univ of Michigan Heart Surgery Program Critteton
• Kevin Rem, LPC
• Kellie Lynn Reno, OTRL
• Res-Care Premier, Inc.
• Rescare Home Care Michigan
• Rescare Premier Inc (First Choice)
• Resilient Roots LLC
• Restorative Pathways, LLC

• Cardiovascular Disease Physician in Rochester, MI
• Providers in Rochester, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.