Individual provider Active NPI

Regina Simone, D.O.

  • Family Medicine Physician
  • Northville, MI
National Provider Identifier
1992775969
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101012446 Issued in MI
Practice address
42000 6 Mile Rd
Suite 201
Northville, MI 48168-4336
Phone
(248) 735-9100
Fax
(248) 735-9101
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101012446 MI Primary

Addresses

Primary practice location

42000 6 Mile Rd
Suite 201
Northville, MI 48168-4336

Mailing address

42000 6 Mile Rd
Suite 201
Northville, MI 48168-4336
Phone (248) 735-9100

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
I20051229000266 MI Practitioner - Family Practice 9234151697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

42000 6 Mile Rd
Suite 201
Northville, MI 48168-2600
Phone (248) 735-9100

Hospital & facility affiliations

  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Corewell Health Wayne Hospital Hospital, Wayne, MI, CCN 230142

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regina Simone DO PC Family Medicine CurrentSince Jan 1, 2006 Accepting new patients
Randall a. Bickle, DO., PC Family Medicine PastSince Jan 6, 2006 Accepting new patients
Personal Health Care, P.C. Past Accepting new patients

Locations

42000 6 Mile Rd
Ste 201
Northville, MI 48168
Phone (248) 735-9100

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 12

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992775969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42000 6 MILE RD",
            "address_2": "SUITE 201",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481684336",
            "telephone_number": "248-735-9100",
            "fax_number": "248-735-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42000 6 MILE RD",
            "address_2": "SUITE 201",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481684336",
            "telephone_number": "248-735-9100",
            "fax_number": "248-735-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONE",
        "first_name": "REGINA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101012446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

Verify at the official NPI Registry.