Active NPI
Metro Medical Center PLLC
- Internal Medicine Physician
- Hamtramck, MI
National Provider Identifier
1083359913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- METRO MEDICAL CENTER PLLC
- Practice address
- 11828 Joseph Campau St
Hamtramck, MI 48212-3049 - Phone
- (313) 707-0122
- NPI assigned
- May 4, 2022
- Last updated
- Feb 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maya R Rahman
- Title
- President
- Phone
- (313) 707-0122
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary | |
| Primary Care Clinic/Center | 261QP2300X | NU | ||
| Nurse Practitioner | 363L00000X | NU |
Addresses
Primary practice location
11828 Joseph Campau St
Hamtramck, MI 48212-3049
Mailing address
11828 Joseph Campau St
Hamtramck, MI 48212-3049
Phone (313) 707-0122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2266059 | Metro Medical Center PLLC | Certificate of waiver | Aug 3, 2026 |
National Provider Directory
National Provider DirectoryLocations
11828 Joseph Campau St
Hamtramck, MI 48212
Phone (313) 707-0122
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Physician
- Shelby Township, MI
- NPI 1982867420
Multi-Specialty
-
- Family Nurse Practitioner
- Hamtramck, MI
- NPI 1720689193
-
- Physician Assistant
- Hamtramck, MI
- NPI 1104614338
-
- Physician Assistant
- Hamtramck, MI
- NPI 1619726031
-
- Gerontology Nurse Practitioner
- Novi, MI
- NPI 1609384569
-
- Nurse Practitioner
- Harper Woods, MI
- NPI 1780468710
-
- Physician Assistant
- Detroit, MI
- NPI 1790430361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707091200000",
"number": "1083359913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11828 JOSEPH CAMPAU ST",
"city": "HAMTRAMCK",
"state": "MI",
"postal_code": "482123049",
"telephone_number": "313-707-0122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11828 JOSEPH CAMPAU ST",
"city": "HAMTRAMCK",
"state": "MI",
"postal_code": "482123049",
"telephone_number": "313-707-0122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METRO MEDICAL CENTER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-04",
"last_updated": "2024-02-05",
"certification_date": "2024-02-05",
"status": "A",
"authorized_official_last_name": "RAHMAN",
"authorized_official_first_name": "MAYA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "313-707-0122"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamtramck, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.