OrganizationActive
MD Regeneration, PLLC
NPI 1780183186 · Internal Medicine Physician · Royal Oak, MI
Provider details
- NPI number
- 1780183186
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mackenzie Jennings, Credentialing Specialist(617) 454-4916
- License
- 5101020789 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
333 W 7th St Ste 100
Royal Oak, MI 48067-2510
Phone: (248) 561-0602
Street-level locationGet directions
Mailing address
41000 Woodward Ave Ste 350
Bloomfield, MI 48304-5092
Additional practice locations (1)
- 37300 Dequindre Rd Ste 120Sterling Heights, MI 48310-3597Phone: (248) 561-0602Fax: (586) 275-0066
Registry dates
- Enumerated
- 2018-02-12
- Last updated
- 2019-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.