Individual provider Active NPI

Darryl R Reaume, DO

  • Urology Physician
  • Clarkston, MI
National Provider Identifier
1982668448
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
5101011321 Issued in MI
Practice address
10442 Hastings CT
Clarkston, MI 48348-2196
Phone
(248) 969-0665
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 5101011321 MI Primary

Addresses

Primary practice location

10442 Hastings CT
Clarkston, MI 48348-2196

Mailing address

31157 Woodward Ave
Royal Oak, MI 48073-0996
Phone (248) 969-0665

Other identifiers 1

IdentifierTypeStateIssuer
3381303-11MedicaidMI

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
I20100809000068 MI Practitioner - Urology 0042369894 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101011321MIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Institute of Urology, PC CurrentSince Nov 5, 2001 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Jun 29, 2012 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Jun 29, 2012 Accepting new patients

Locations

21510 Harrington St
Ste 301
Clinton Twp, MI 48036
Phone (586) 464-3661

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

28711 8 Mile Rd
Ste B
Livonia, MI 48152
Phone (248) 482-8830

14800 Farmington Rd
Ste 108
Livonia, MI 48154
Phone (734) 261-7401

17405 Hall Rd
Ste B
Macomb, MI 48044
Phone (586) 228-0150

25500 Meadowbrook Rd
Novi, MI 48375
Phone (248) 477-2200

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

31157 Woodward Ave
Royal Oak, MI 48073
Phone (248) 288-2250

20952 E 12 Mile Rd
Ste 200
St Clr Shores, MI 48081
Phone (586) 771-4820

44344 Dequindre Rd
Ste 310
Sterling Heights, MI 48314
Phone (586) 997-3530

4600 Investment Dr
Ste 370
Troy, MI 48098
Phone (248) 267-5030

13251 E 10 Mile Rd
Ste 200
Warren, MI 48089
Phone (586) 758-0123

28565 Schoenherr Rd
Warren, MI 48088
Phone (586) 576-4140

Interoperability endpoints

  • Direct secure messaging: dreaume58007@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.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1982668448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31157 WOODWARD AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730996",
            "telephone_number": "248-969-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10442 HASTINGS CT",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483482196",
            "telephone_number": "248-969-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAUME",
        "first_name": "DARRYL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "5101011321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3381303-11",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

Verify at the official NPI Registry.