RADU GABRIEL ILIESCU MD - NPI 1013448927 - Psychiatry & Neurology in Bloomfield Hills, MI

Q: What is Radu Iliescu's NPI number?

The NPI number for Radu Iliescu is 1013448927. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Q: What is Radu Iliescu's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: Is Radu Iliescu enrolled in Medicare?

No. Radu Iliescu has opted out of Medicare through February 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Radu Iliescu was last updated on February 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Radu Gabriel Iliescu Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RADU GABRIEL ILIESCU MD (NPI 1013448927) is an individual child & adolescent psychiatry provider in Bloomfield Hills, Michigan, licensed in Michigan (4301503887) and active in the NPI registry since March 2017. He has opted out of Medicare through February 11, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1013448927

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameRADU GABRIEL ILIESCUCredential: MD

Location Address36400 WOODWARD AVE STE 202Bloomfield Hills, MI 48304-0913

Mailing Address36400 Woodward Ave Ste 202Bloomfield Hills, MI 48304-0913 · (248) 702-4177 · Fax (248) 957-1490

Phone(248) 702-4177

Fax(248) 957-1490

Sole ProprietorNo

Enumeration DateMarch 22, 2017

Last NPPES UpdateFebruary 24, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 24, 2024

✔ NPI 1013448927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in MI · 4301503887

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 4301503887 (MI)

36400 WOODWARD AVE STE 202, Bloomfield Hills, MI 48304

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Radu Gabriel Iliescu Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 11, 2024 through February 11, 2028.

Opt-Out Effective DateFebruary 11, 2024

Opt-Out In Effect ThroughFebruary 11, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER WOLFGANG LMSW

Social Worker (Clinical)