Active NPI
Claude Reitelman, MD
- Pediatric Urology Physician
- Birmingham, MI
National Provider Identifier
1861457285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Urology Physician
- License
- 4301050723
- Practice address
- 263 Puritan Ave
Birmingham, MI 48009-4631 - Phone
- (248) 258-2831
- NPI assigned
- Apr 19, 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 |
|---|---|---|---|---|
| Pediatric Urology Physician | 2088P0231X | 4301050723 | MI | Primary |
Addresses
Primary practice location
263 Puritan Ave
Birmingham, MI 48009-4631
Mailing address
263 Puritan Ave
Birmingham, MI 48009-4631
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01004180 | Other | MI | HEALTH PLUS |
| 103195 | Other | MI | PRIORITY HEALTH |
| 4466562 | Other | MI | AETNA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301050723 | MI | MD | Pediatric Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461283200000",
"number": "1861457285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 PURITAN AVE",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480094631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 PURITAN AVE",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480094631",
"telephone_number": "248-258-2831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REITELMAN",
"first_name": "CLAUDE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2016-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "MI",
"license": "4301050723",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS",
"identifier": "01004180",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIORITY HEALTH",
"identifier": "103195",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4466562",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.