Individual provider Active NPI

Rula Mahayni, MD

  • Infectious Disease Physician
  • Bloomfield Hills, MI
National Provider Identifier
1003806217
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
4301056551 Issued in MI
Practice address
43700 Woodward Ave Ste 103
Bloomfield Hills, MI 48302-5060
Phone
(248) 332-4629
Fax
(248) 322-5490
NPI assigned
Oct 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 4301056551 MI Primary

Addresses

Primary practice location

43700 Woodward Ave Ste 103
Bloomfield Hills, MI 48302-5060

Mailing address

43700 Woodward Ave Ste 103
Bloomfield Hills, MI 48302-5060
Phone (248) 332-4629

Other identifiers 2

IdentifierTypeStateIssuer
3177506MedicaidMI
4406343361OtherMIBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070413000207 MI Practitioner - Infectious DiseasePractitioner - Internal Medicine 8123081536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakland Infectious Disease Associates PCGroup PAC ID 2860455268, 5 clinicians

Practice addresses (Care Compare)

43700 Woodward Ave
Suite 103
Bloomfield Hills, MI 48302-5060
Phone 24833246295

Hospital & facility affiliations

  • Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Oakland Infectious Disease Associates PC Infectious Disease CurrentSince Jul 1, 1995 Accepting new patients

Locations

43494 Woodward Ave
Ste 110
Bloomfield Hills, MI 48302
Phone (248) 332-4629

43700 Woodward Ave
Ste 103
Bloomfld Hls, MI 48302
Phone (248) 332-4629

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1003806217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43700 WOODWARD AVE STE 103",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025060",
            "telephone_number": "248-332-4629",
            "fax_number": "248-322-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43700 WOODWARD AVE STE 103",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025060",
            "telephone_number": "248-332-4629",
            "fax_number": "248-322-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAYNI",
        "first_name": "RULA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MI",
            "license": "4301056551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3177506",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4406343361",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.