Active NPI
Darryl R Reaume, DO
- Urology Physician
- Clarkston, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 5101011321
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3381303-11 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101011321 | MI | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Institute of Urology, PC | Current | Accepting new patients | |
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| Michigan Healthcare Professionals PC | Current | 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
- 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.
-
- Internal Medicine Physician
- Farmington Hills, MI
- NPI 1295023547
-
- Durable Medical Equipment & Medical Supplies
- Lapeer, MI
- NPI 1992693303
-
- Durable Medical Equipment & Medical Supplies
- Livonia, MI
- NPI 1881789071
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.