Active NPI
Edward Rothwell Feldman, MD
- Medical Oncology Physician
- Royal Oak, MI
National Provider Identifier
1992773741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 4301047940
- Practice address
- 3577 W 13 Mile Rd
Suite 204
Royal Oak, MI 48073-6710 - Phone
- (248) 551-2446
- Fax
- (248) 551-1094
- NPI assigned
- Mar 9, 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 | EF047940 | MI | |
| Medical Oncology Physician | 207RX0202X | 4301047940 | MI | Primary |
Addresses
Primary practice location
3577 W 13 Mile Rd
Suite 204
Royal Oak, MI 48073-6710
Mailing address
29992 Northwestern Hwy
Suite C
Farmington Hills, MI 48334-3292
Phone (248) 851-1430
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 191207 | Other | MI | GREAT LAKES |
| 0181374 | Other | MI | TOTAL HEALTH CARE |
| 033257 | Other | MI | MIDWEST HEALTH PLAN |
| 1992773741 | Medicaid | MI | |
| 743205 | Other | AZ | ARIZONA FOUNDATION |
| B46265 | Other | MI | HEALTH ALLIANCE PLAN |
| QMP000003846779 | Other | MI | MOLINA HEALTHCARE |
| 700H273300 | Other | MI | BLUE SHIELD |
| 5452658 | Other | MI | AETNA |
| 7302 | Other | MI | HEALTH PLAN OF MICHIGAN |
| P00910883 | Other | MI | RAILROAD MEDICARE |
| 962488 | Other | MI | USA MCO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| EF047940 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| X-Ray Treatment Center, P.C. | Past | Accepting new patients | |
| X-Ray Treatment Center | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427241600000",
"number": "1992773741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29992 NORTHWESTERN HWY",
"address_2": "SUITE C",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483343292",
"telephone_number": "248-851-1430",
"fax_number": "248-851-5192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3577 W 13 MILE RD",
"address_2": "SUITE 204",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736710",
"telephone_number": "248-551-2446",
"fax_number": "248-551-1094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELDMAN",
"first_name": "EDWARD",
"middle_name": "ROTHWELL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2015-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "EF047940",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "MI",
"license": "4301047940",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES",
"identifier": "191207",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TOTAL HEALTH CARE",
"identifier": "0181374",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDWEST HEALTH PLAN",
"identifier": "033257",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1992773741",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA FOUNDATION",
"identifier": "743205",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE PLAN",
"identifier": "B46265",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA HEALTHCARE",
"identifier": "QMP000003846779",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "700H273300",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5452658",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN OF MICHIGAN",
"identifier": "7302",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00910883",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USA MCO",
"identifier": "962488",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.