Individual provider Active NPI

Michael Scott Reddington, DO

  • Emergency Medicine Physician
  • Troy, MI
National Provider Identifier
1841336658
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101015758 Issued in MI
Practice address
754 Sandalwood Dr
Troy, MI 48085-1644
Phone
(248) 879-1833
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5101015758 MI Primary

Addresses

Primary practice location

754 Sandalwood Dr
Troy, MI 48085-1644

Mailing address

754 Sandalwood Dr
Troy, MI 48085-1644
Phone (248) 879-1833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20080911000165 AL Practitioner - Internal MedicinePractitioner - Emergency Medicine 8022110949 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Emergency Physicians LLC Emergency Medicine CurrentSince Aug 1, 2012 Accepting new patients
Trinity Emergency Physicians, LLC Emergency Medicine CurrentSince Aug 1, 2012 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Jun 1, 2012 Accepting new patients

Locations

1000 1st St N
Alabaster, AL 35007
Phone (205) 620-8100

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

800 Montclair Rd
Birmingham, AL 35213
Phone (205) 592-1000

400 Northwood Dr
Centre, AL 35960
Phone (256) 927-1382

2010 Medical Center Dr
Homewood, AL 35209
Phone (205) 877-1930

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841336658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 SANDALWOOD DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851644",
            "telephone_number": "248-879-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 SANDALWOOD DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851644",
            "telephone_number": "248-879-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDINGTON",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101015758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.