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DR. RICKIE HARDAWAY MD
NPI 1316903198
Internal Medicine in Detroit, MI

Active since April 21, 2006PECOS Enrolled
15865 WYOMING, DETROIT, MI 48238(313) 342-2576(313) 342-4486 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 9, 2023, Dec 20, 2022 (2 updates tracked since 2022).

About Dr. Rickie Hardaway Md NPPES

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

DR. RICKIE HARDAWAY MD (NPI 1316903198) is an individual internal medicine provider in Detroit, Michigan, licensed in Michigan (4301061729) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1316903198
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RICKIE HARDAWAYCredential: MD
Location Address15865 WYOMINGDetroit, MI 48238
Mailing Address15865 WyomingDetroit, MI 48238 · (313) 342-2576 · Fax (313) 342-4486
Phone(313) 342-2576
Fax(313) 342-4486
Sole ProprietorNo
Enumeration DateApril 21, 2006
Last NPPES UpdateFebruary 9, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2023
✔ NPI 1316903198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301061729
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X · License 4301061729 (MI)
Also ListedPediatricsTaxonomy 208000000X · License 4301061729 (MI)
15865 WYOMING, Detroit, MI 48238
Open in Google Maps ↗

Secondary Practice Location 1

Location 12081 W Grand BlvdDetroit, MI 48208-1105 · Phone (313) 895-0500 · Fax (313) 895-9503

Other Identifiers 1

Medicaid4088160MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rickie Hardaway Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Rickie Hardaway reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alpha And Omega Primary Health Care Inc
Same address
Internal Medicine
15865 WYOMING ST
Detroit, MI 48238
  • Reassigned Medicare billing, Michigan enrollment
NPI 1770752495 (313) 342-2576
Sobriety House
4.4 mi
Substance Abuse Rehabilitation Facility
2081 W. GRAND BLVD.
Detroit, MI 48208
  • Reassigned Medicare billing, Michigan enrollment
NPI 1386777555 (313) 895-0500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48238 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers12 claims12 services$215.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rickie Hardaway's NPI number?

The NPI number for Rickie Hardaway is 1316903198. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is Rickie Hardaway located?

Rickie Hardaway practices at 15865 Wyoming, Detroit, MI 48238. The listed phone number is (313) 342-2576.

What is Rickie Hardaway's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Rickie Hardaway enrolled in Medicare?

Yes. Rickie Hardaway is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Rickie Hardaway's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rickie Hardaway reassigns Medicare benefits to 2 organizations: Alpha And Omega Primary Health Care Inc (Detroit, MI) and Sobriety House (Detroit, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rickie Hardaway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rickie Hardaway accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Rickie Hardaway as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rickie Hardaway was last updated on February 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.