Individual provider Active NPI

Michelle Janeen Reinke-Young, DO

  • Obstetrics & Gynecology Physician
  • Novi, MI
National Provider Identifier
1972503670
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5101014514 Issued in MI
Practice address
25500 Meadowbrook Rd Ste 120
Novi, MI 48375-1879
Phone
(248) 465-4340
Fax
(248) 465-4341
NPI assigned
Jul 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5101014514 MI Primary

Addresses

Primary practice location

25500 Meadowbrook Rd Ste 120
Novi, MI 48375-1879

Mailing address

25500 Meadowbrook Rd Ste 120
Novi, MI 48375-1879
Phone (248) 465-4340

Other identifiers 1

IdentifierTypeStateIssuer
4780151MedicaidMI

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
I20041029000255 MI Practitioner - Obstetrics/Gynecology 0648232959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uwh of Michigan PLCGroup PAC ID 0345626073, 91 clinicians

Practice addresses (Care Compare)

1560 Turf LN
East Lansing, MI 48823-6392
Phone (517) 484-3000

Hospital & facility affiliations

  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Uwh of Michigan PLC Obstetrics & Gynecology CurrentSince Feb 1, 2023 Accepting new patients
Henry Ford Health Providence Hospital Past Accepting new patients
Metro Partners in Womens Health, PC Obstetrics & Gynecology PastSince Sep 25, 2022 Accepting new patients

Locations

1560 Turf Ln
East Lansing, MI 48823
Phone (517) 484-3000

46325 W Twelve Mile Rd
Ste 250
Novi, MI 48377
Phone (248) 465-1200

26850 Providence Pkwy
Ste 315
Novi, MI 48374
Phone (248) 465-4340

Interoperability endpoints

  • Direct secure messaging: michelle.reinke-young.1@26060.direct.athenahealth.com
  • Direct secure messaging: mreinkeyoung1148868@direct.hfhs.org

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.

Hospital & facility affiliations 1

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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1972503670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 MEADOWBROOK RD STE 120",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751879",
            "telephone_number": "248-465-4340",
            "fax_number": "248-465-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 MEADOWBROOK RD STE 120",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751879",
            "telephone_number": "248-465-4340",
            "fax_number": "248-465-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINKE-YOUNG",
        "first_name": "MICHELLE",
        "middle_name": "JANEEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101014514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4780151",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.