Individual provider Active NPI

Hillel Sternlicht, M.D.

  • Nephrology Physician
  • Detroit, MI
National Provider Identifier
1861789125
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
4301111958 Issued in MI
Practice address
6001 W Outer Dr Ste 114
Detroit, MI 48235-2626
Phone
(757) 894-7676
Fax
(844) 391-7655
NPI assigned
Jul 6, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 264525 NY
Internal Medicine Physician 207R00000X 036137586 IL
Nephrology Physician 207RN0300X 036137586 IL
Nephrology Physician 207RN0300X 264525 NY
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 4301111958 MI Primary

Addresses

Primary practice location

6001 W Outer Dr Ste 114
Detroit, MI 48235-2626

Mailing address

3670 Woodward Ave Apt 307
Detroit, MI 48201-2458
Phone (757) 894-7676

Other practice location 1

22250 Providence Dr Ste 406
Southfield, MI 48075-6212
Phone (773) 702-7936

Other practice location 2

6001 W Outer Dr Ste 114
Detroit, MI 48235-2626
Phone (757) 894-7676

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

LicenseStateTypeSpecialty
036137586ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bimc Faculty Practice Single Specialty Past Accepting new patients

Organizations & group practices 1

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": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1861789125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3670 WOODWARD AVE APT 307",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012458",
            "telephone_number": "757-894-7676",
            "fax_number": "844-391-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 W OUTER DR STE 114",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352626",
            "telephone_number": "757-894-7676",
            "fax_number": "844-391-7655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22250 Providence Dr Ste 406",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480756212",
            "country_code": "US",
            "telephone_number": "773-702-7936",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6001 W Outer Dr Ste 114",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482352626",
            "country_code": "US",
            "telephone_number": "757-894-7676",
            "fax_number": "844-371-6577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STERNLICHT",
        "first_name": "HILLEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-06",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "264525",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036137586",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036137586",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "264525",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301111958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.