Individual provider Active NPI

Rafael Limgenco Barretto, D.O.

  • Internal Medicine Physician
  • Warren, MI
National Provider Identifier
1942202122
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101013775 Issued in MI
Practice address
11800 E Twelve Mile Rd
Inptient Consultants of Michigan
Warren, MI 48098
Phone
(734) 464-0887
Fax
(734) 402-0254
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101013775 MI Primary
Hospitalist Physician 208M00000X 4301013775 MI

Addresses

Primary practice location

11800 E Twelve Mile Rd
Inptient Consultants of Michigan
Warren, MI 48098

Mailing address

4967 Crooks Rd
Ste. 130
Troy, MI 48098-5801
Phone (248) 952-1601

Other identifiers 4

IdentifierTypeStateIssuer
1942202122OtherMINPI #
RB013775OtherMIBCBSM
70-0-F32947-0OtherMIBCBS CPIN #
4846763MedicaidMI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040809001246 MI Practitioner - Internal Medicine 2567434707 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Michigan State University College of Human Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health Macomb Oakland HospitalGroup PAC ID 7315859725, shared by 8 NPIs, 155 clinicians

Practice addresses (Care Compare)

11800 E 12 Mile Rd
Warren, MI 48093-3472
Phone (586) 573-5000

27483 Dequindre Rd
Suite 204
Madison Heights, MI 48071-5711
Phone (248) 967-7326

Hospital & facility affiliations

  • Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101013775MIMDInternal Medicine Physician
4301013775MIMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Michigan PC Internal Medicine CurrentSince Nov 16, 2005 Accepting new patients
Henry Ford Health Macomb Oakland Hospital Current Accepting new patients
Henry Ford Health Macomb-Oakland Hospital Internal Medicine CurrentSince Jan 14, 2021 Accepting new patients
Ascension Medical Group Michigan Past Accepting new patients
Henry Ford Health Macomb Oakland Hospital Past Accepting new patients

Locations

3195 Solutions Ctr
Chicago, IL 60677

22600 W Main St
Armada, MI 48005
Phone (734) 508-4569

1014 E Grand River Ave
Brighton, MI 48116
Phone (810) 220-5222

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300

36123 Schoolcraft Rd
Livonia, MI 48150
Phone (734) 793-6140

27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

4967 Crooks Rd
Ste 130
Troy, MI 48098
Phone (248) 952-1601

4967 Crooks Rd
Ste 120
Troy, MI 48098
Phone (313) 493-6800

11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000

625 36th St SW
Wyoming, MI 49509
Phone (517) 481-3715

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1942202122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4967 CROOKS RD",
            "address_2": "STE. 130",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480985801",
            "telephone_number": "248-952-1601",
            "fax_number": "248-952-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 E TWELVE MILE RD",
            "address_2": "INPTIENT CONSULTANTS OF MICHIGAN",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "48098",
            "telephone_number": "734-464-0887",
            "fax_number": "734-402-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETTO",
        "first_name": "RAFAEL",
        "middle_name": "LIMGENCO",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101013775",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MI",
            "license": "4301013775",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI #",
            "identifier": "1942202122",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "RB013775",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CPIN #",
            "identifier": "70-0-F32947-0",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4846763",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.