JULIE B TREDEMEYER (DO) – Gastroenterology Physician, NPI 1073542940

JULIE B TREDEMEYER (DO) is a healthcare provider. based in Southfield, Michigan. specializing in OSTEOPATHIC MANIPULATIVE MEDICINE, GASTROENTEROLOGY. They hold the professional credentials DO. They hold a License No. 02005045A (IN). The NPI Number for JULIE B TREDEMEYER (DO) is 1073542940

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
JULIE B TREDEMEYER (DO)
NPI
1073542940
Phone
(248) 849-5000
Address
16001 W 9 Mile Rd
Enumeration Date
2 July 2006
Last Update Date
30 August 2024

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
3176217740
Graduation Year
2006 (20 years ago)
PAC ID
5294978045
Group Practice PAC ID
1759416662
Professional Enrollment ID
I20171128001310
Address ID
IN469023828KO3611XRDXX404

Contacts

Secure Messaging
jtredemeyer288861@eCommunityDirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

158 OSTEOPATHIC MANIPULATIVE MEDICINE in MI

Provider Addresses for JULIE B TREDEMEYER (DO)

  • 16001 W 9 Mile Rd

    Southfield, MI 480754818

    Phone: (248) 849-5000

    Type: Location

  • 3505 S REED RD

    KOKOMO, IN 469023838

    Phone: (765) 776-5500

    Type: Location

  • 500, East 75th Street, Indianapolis, Indiana, 46240, United States

    INDIANAPOLIS, IN 462502890

    Phone:

    Type: Mailing

  • South Reed Road, Terrace Gardens, Kokomo, Howard County, Indiana, 46902, United States

    KOKOMO, IN 469023828

    Phone: (765) 776-5500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $430.

Total Amount is formed as General ($430) + Research ($0) + Ownership ($0) = $430.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($111).

Total Amount

$430

General + Research + Ownership

Payments

19

Total payment records

General Amount

$430

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-11-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171128001310IOsteopathic Manipulative MedicineINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes292212$0
99204New patient office or other outpatient visit, 45-59 minutes181181$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope134131$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare7070$0
45380Biopsy of large bowel using a flexible endoscope3232$0
View full utilization report →

Insurance plans in this area (ZIP 48075)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759416662View full group profile

Reviews

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Frequently asked questions

Can I cross-check JULIE B TREDEMEYER (DO) using NPI 1073542940?
NPI 1073542940 belongs to JULIE B TREDEMEYER (DO); compare other details if you need extra assurance.
Is there an active status for JULIE B TREDEMEYER (DO)?
For scheduling context, JULIE B TREDEMEYER (DO) is shown as active in the registry.
What clinical focus is listed for JULIE B TREDEMEYER (DO)?
At a glance, JULIE B TREDEMEYER (DO) is tied to Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JULIE B TREDEMEYER (DO)?
Travel planning: use Southfield, Michigan as the reference point for JULIE B TREDEMEYER (DO), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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