Active NPI
Farrokh Rahnemoon, MD
- Pediatrics Physician
- Lansing, MI
National Provider Identifier
1033299078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301037074
- Practice address
- 644 Migaldi LN
Suite 300
Lansing, MI 48917-7750 - Phone
- (517) 627-6024
- Fax
- (517) 627-9339
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301037074 | MI | Primary |
Addresses
Primary practice location
644 Migaldi LN
Suite 300
Lansing, MI 48917-7750
Mailing address
2111 Merritt Rd
Ste 202
East Lansing, MI 48823-6916
Phone (517) 627-6024
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104730919 | Medicaid | MI | |
| 3502310142 | Other | MI | BCBS OF MICHIGAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301037074 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Ambulatory Services for Health PC | Past | Accepting new patients |
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.
-
- General Practice Physician
- Okemos, MI
- NPI 1821197922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487548800000",
"number": "1033299078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 MERRITT RD",
"address_2": "STE 202",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488236916",
"telephone_number": "517-627-6024",
"fax_number": "517-627-9339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "644 MIGALDI LN",
"address_2": "SUITE 300",
"city": "LANSING",
"state": "MI",
"postal_code": "489177750",
"telephone_number": "517-627-6024",
"fax_number": "517-627-9339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAHNEMOON",
"first_name": "FARROKH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2017-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301037074",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104730919",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MICHIGAN",
"identifier": "3502310142",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.