NPIMap

Individual provider Active NPI

Diana Rumple Nadeau, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Detroit, MI
National Provider Identifier
1821264987
Registry record updated Aug 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
4301082758 Issued in MI
Practice address
17187 Schaefer Hwy
Detroit, MI 48235-4132
Phone
(313) 367-2767
Fax
(313) 367-2818
NPI assigned
May 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 4301082758 MI Primary

Addresses

Primary practice location

17187 Schaefer Hwy
Detroit, MI 48235-4132

Mailing address

17187 Schaefer Hwy
Detroit, MI 48235-4132
Phone (313) 367-2767

Other identifiers 1

IdentifierTypeStateIssuer
E06114016OtherPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080616000383 MI Practitioner - Physical Medicine and Rehabilitation 5395816573 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Rehabilitation PhysiciansGroup PAC ID 4385824382, 11 clinicians

Practice addresses (Care Compare)

17187 Schaefer Hwy
Detroit, MI 48235-4132
Phone (313) 367-2767

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Rehabilitation Physicians Physical Medicine & Rehabilitation CurrentSince Aug 10, 2017 Accepting new patients
Jawad a Shah MD PC CurrentSince Oct 17, 2023 Accepting new patients
Jawad a Shah, MD PC CurrentSince Oct 17, 2023 Accepting new patients
VHS Rehabilitation Institute of Michigan Inc Past Accepting new patients
Henry Ford Macomb Hospital Corporation PastSince Jun 15, 2008 Accepting new patients

Locations

17187 Schaefer Hwy
Detroit, MI 48235
Phone (313) 342-9255

4800 S Saginaw St
Flint, MI 48507
Phone (810) 275-9108

4800 S Saginaw St
Ste 1815
Flint, MI 48507
Phone (810) 275-9152

4800 S Saginaw St
Ste 1805
Flint, MI 48507
Phone (810) 275-9108

4800 S Saginaw St
Ste 1800
Flint, MI 48507
Phone (810) 732-8336

Interoperability endpoints

  • Direct secure messaging: dnadeau57972@direct.hfhs.org

Organizations & group practices 5

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 4

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": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503360000000",
    "number": "1821264987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17187 SCHAEFER HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482354132",
            "telephone_number": "313-367-2767",
            "fax_number": "313-367-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17187 SCHAEFER HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482354132",
            "telephone_number": "313-367-2767",
            "fax_number": "313-367-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADEAU",
        "first_name": "DIANA",
        "middle_name": "RUMPLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2017-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301082758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "E06114016",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.