Active NPI
Russel H York, MD
- Rheumatology Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 4301043619
- Practice address
- 4160 John R St
Suite 917
Detroit, MI 48201-2020 - Phone
- (313) 745-4525
- Fax
- (313) 745-0011
- NPI assigned
- Oct 12, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301043619 | MI | |
| Rheumatology Physician | 207RR0500X | 4301043619 | MI | Primary |
Addresses
Primary practice location
4160 John R St
Suite 917
Detroit, MI 48201-2020
Mailing address
400 Mack Ave
Detroit, MI 48201-2136
Other practice location 1
400 Mack Ave
Detroit, MI 48201-2136
Phone (313) 448-9650
Other practice location 2
26400 W 12 Mile Rd Ste 145
Southfield, MI 48034-1700
Phone (248) 359-8034
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1943271 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Howard University College of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4160 John R St
Suite 917
Detroit, MI 48201-2017
Phone (313) 745-7227
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Group | Internal Medicine | Current | Accepting new patients |
| Joshua P June DO | Rheumatology | Past | Accepting new patients |
| University Physician Group | Past | Accepting new patients |
Locations
400 Mack Ave
Detroit, MI 48201
Phone (313) 448-9006
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
4160 John R St
Ste 917
Detroit, MI 48201
Phone (313) 745-1445
26400 W 12 Mile Rd
Ste 111
Southfield, MI 48034
Phone (248) 357-4151
26400 W 12 Mile Rd
Ste 145
Southfield, MI 48034
Phone (248) 359-8034
1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200
1560 E Maple Rd
Ste 400
Troy, MI 48083
Interoperability endpoints
- ryork@direct.dmc.org
- russel.york.1@19711.direct.athenahealth.com
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.
-
dba Great Lakes Center of Rheumatology West
- Rheumatology Physician
- Lansing, MI
- NPI 1942836663
-
dba Wayne State University Physician Group
- Counselor
- Detroit, MI
- NPI 1447465661
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Detroit Receiving Hospital
- General Acute Care Hospital
- Detroit, MI
- NPI 1619289998
-
dba Harper University Hospital
- General Acute Care Hospital
- Detroit, MI
- NPI 1427360700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646092800000",
"number": "1912096744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 MACK AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4160 JOHN R ST",
"address_2": "SUITE 917",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012020",
"telephone_number": "313-745-4525",
"fax_number": "313-745-0011"
}
],
"practiceLocations": [
{
"address_1": "400 Mack Ave",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482012136",
"country_code": "US",
"telephone_number": "313-448-9650",
"fax_number": "313-448-9979",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "26400 W 12 Mile Rd Ste 145",
"address_purpose": "LOCATION",
"city": "Southfield",
"state": "MI",
"postal_code": "480341700",
"country_code": "US",
"telephone_number": "248-359-8034",
"fax_number": "248-359-8660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YORK",
"first_name": "RUSSEL",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2022-03-01",
"certification_date": "2022-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301043619",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MI",
"license": "4301043619",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1943271",
"state": "MI"
}
],
"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 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.