Individual provider Active NPI

Darlene Reifel

  • Speech-Language Pathologist
  • Bingham Farms, MI
National Provider Identifier
1871068288
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101000695 Issued in MI
Practice address
31100 Telegraph Rd Ste 230
Bingham Farms, MI 48025-4347
Phone
(248) 477-7020
Fax
(248) 477-2440
NPI assigned
Oct 11, 2018
Last updated
May 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7101000695 MI Primary

Addresses

Primary practice location

31100 Telegraph Rd Ste 230
Bingham Farms, MI 48025-4347

Mailing address

25500 Meadowbrook Rd Ste 220
Novi, MI 48375-1882
Phone (248) 477-7020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230620001999 MI Practitioner - Qualified Speech Language Pathologist 1456719608 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT Specialists PCGroup PAC ID 0648370874, 13 clinicians

Practice addresses (Care Compare)

6249 Grand River Rd
Brighton, MI 48114-5305
Phone (810) 844-1900

Merit-based Incentive Payment System (MIPS)

Final score
85.99 of 100Reported as group
Quality
75.61
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7101000695MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Paxxon Healthcare Services LLC CurrentSince May 23, 2023 Accepting new patients
Paxxon Healthcare Services LLC Speech-Language Pathologist CurrentSince May 23, 2023 Accepting new patients

Locations

3451 Clarkston Rd
Lake Orion, MI 48360
Phone (734) 506-0630

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1871068288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 MEADOWBROOK RD STE 220",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751882",
            "telephone_number": "248-477-7020",
            "fax_number": "248-477-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31100 TELEGRAPH RD STE 230",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254347",
            "telephone_number": "248-477-7020",
            "fax_number": "248-477-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIFEL",
        "first_name": "DARLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101000695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.