Organization Active NPI

Balanced Podiatry Care

  • Podiatrist
  • Warren, MI
National Provider Identifier
1003341520
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
BALANCED PODIATRY CARE
Practice address
30205 Schoenherr Rd Ste a
Warren, MI 48088-6800
Phone
(586) 751-1288
Fax
(586) 299-2001
NPI assigned
Apr 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Authorized official

Name
Rami Al-Rashed, DPMNPI 1255740494
Title
President
Phone
(734) 474-4324

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X Primary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X
Foot Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0131X

Addresses

Primary practice location

30205 Schoenherr Rd Ste a
Warren, MI 48088-6800

Mailing address

4540 Old Oak CT
Plymouth, MI 48170-6441
Phone (586) 751-1288

Other practice location 1

4540 Old Oak Ct
Plymouth, MI 48170-6441
Phone (586) 751-1288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220125000160 MI Part B Supplier - Clinic/Group Practice 8921490962 Receives reassigned benefits from 1 practitioner
Practice locations: Warren, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1003341520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 OLD OAK CT",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481706441",
            "telephone_number": "586-751-1288",
            "fax_number": "586-299-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30205 SCHOENHERR RD STE A",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480886800",
            "telephone_number": "586-751-1288",
            "fax_number": "586-299-2001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4540 Old Oak Ct",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MI",
            "postal_code": "481706441",
            "country_code": "US",
            "telephone_number": "586-751-1288",
            "fax_number": "586-299-2001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BALANCED PODIATRY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-21",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "AL-RASHED",
        "authorized_official_first_name": "RAMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-474-4324",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.