Active NPI
Khashayar Ahmadmehrabi
- Rheumatology Physician
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 4301512155
- Practice address
- 4350 Jackson Rd Ste 320
Ann Arbor, MI 48103-1890 - Phone
- (734) 426-1931
- Fax
- (734) 426-9021
- NPI assigned
- Mar 21, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 4301512155 | MI | Primary |
Addresses
Primary practice location
4350 Jackson Rd Ste 320
Ann Arbor, MI 48103-1890
Mailing address
24 Frank Lloyd Wright Dr Ste J2000
Ann Arbor, MI 48105-9484
Phone (734) 747-6766
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
128 Van Buren St
Chelsea, MI 48118-1623
Phone (734) 475-8677
14288 E Old US Hwy 12
Chelsea, MI 48118-2700
44428 Woodward Ave
Suite 102
Pontiac, MI 48341-5009
Phone (734) 712-8700
51341 W Huron River Dr
Trinity Health Iha Medical Group Primary Ca
Van Buren Township, MI 48111-2571
Phone (734) 997-0304
5301 E Huron River Dr
Ypsilanti, MI 48197-1051
5301 McAuley Dr
Ypsilanti, MI 48197-1051
Hospital & facility affiliations
- Trinity Health Ann Arbor Hospital
- Chelsea Hospital
- Trinity Health Livingston Hospital
- University of Michigan Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301512155 | MI | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loyola University Medical Center | Current | Accepting new patients | |
| Iha Health Services Corporation | Multi-Specialty | Current | Accepting new patients |
| Iha Health Service Corporation | Multi-Specialty | Current | Accepting new patients |
| Iha Health Services Corporation | Multi-Specialty | Current | Accepting new patients |
| Iha Health Services Corporation | Multi-Specialty | Past | Accepting new patients |
Locations
2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400
4350 Jackson Rd
Ste 320
Ann Arbor, MI 48103
Phone (734) 426-1931
14288 E Old US Highway 12
Ste 200
Chelsea, MI 48118
Phone (734) 475-8677
128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677
44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700
Interoperability endpoints
- kahmadmehrabi85370@direct.luhs.org
- kahmadmehrabi540543@direct.hfhs.org
- kahmadmehrabi3491429@direct.trinity-health.org
Organizations & group practices 5
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.
-
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1457408965
Multi-Specialty
-
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1831053701
Multi-Specialty
-
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
-
- General Acute Care Hospital
- Brighton, MI
- NPI 1093748642
-
- General Acute Care Hospital
- Chelsea, MI
- NPI 1992761985
-
- General Acute Care Hospital
- Ypsilanti, MI
- NPI 1780658443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1083174577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 FRANK LLOYD WRIGHT DR STE J2000",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059484",
"telephone_number": "734-747-6766",
"fax_number": "734-222-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4350 JACKSON RD STE 320",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481031890",
"telephone_number": "734-426-1931",
"fax_number": "734-426-9021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMADMEHRABI",
"first_name": "KHASHAYAR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-21",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "MI",
"license": "4301512155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.