Active NPI
Rodney Moret, M.D.
- Family Medicine Physician
- Oak Park, MI
National Provider Identifier
1851451819
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Sep 20, 2018.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301064420
- Practice address
- 21580 Greenfield Rd
Oak Park, MI 48237-3006 - Phone
- (248) 968-1500
- Fax
- (248) 968-1516
- NPI assigned
- Dec 11, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301064420 | MI | Primary |
Addresses
Primary practice location
21580 Greenfield Rd
Oak Park, MI 48237-3006
Mailing address
21580 Greenfield Rd
Oak Park, MI 48237-3006
Phone (248) 968-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OH27467 | Other | MI | BCBSM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339632000000",
"number": "1851451819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21580 GREENFIELD RD",
"city": "OAK PARK",
"state": "MI",
"postal_code": "482373006",
"telephone_number": "248-968-1500",
"fax_number": "248-968-1516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21580 GREENFIELD RD",
"city": "OAK PARK",
"state": "MI",
"postal_code": "482373006",
"telephone_number": "248-968-1500",
"fax_number": "248-968-1516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORET",
"first_name": "RODNEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2012-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301064420",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "OH27467",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oak Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.