NPIMap

Individual provider Active NPI

Prerana Nitin Rajhans, MD

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1083815781
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301087894 Issued in MI
Practice address
4201 St Antoine St
Suite 9C
Detroit, MI 48201
Phone
(313) 745-5146
NPI assigned
May 30, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301087894 MI Primary

Addresses

Primary practice location

4201 St Antoine St
Suite 9C
Detroit, MI 48201

Mailing address

4500 Cass Ave
Apt # 1003
Detroit, MI 48201-1861

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150701001470 MI Practitioner - Geriatric MedicinePractitioner - Internal Medicine 6507178761 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
Wayne State University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Current Accepting new patients
Hegira Health, Inc CurrentSince May 12, 2015 Accepting new patients
Hegira Health, Inc. CurrentSince May 12, 2015 Accepting new patients
Henry Ford Health System Internal Medicine CurrentSince Mar 14, 2018 Accepting new patients
Henry Ford Health System CurrentSince Mar 14, 2018 Accepting new patients
West Bloomfield Opco LLC Past Accepting new patients
West Bloomfield SNF LLC Past Accepting new patients
WB Opco LLC Past Accepting new patients
Roseville Mi Opco LLC Past Accepting new patients
Cherrywood Nursing & Living Center Past Accepting new patients

Locations

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

37450 Schoolcraft Rd
Ste 110
Livonia, MI 48150
Phone (734) 458-4611

8623 N Wayne Rd
Ste 104
Westland, MI 48185
Phone (734) 469-2770

8623 N Wayne Rd
Ste 123
Westland, MI 48185
Phone (734) 367-0469

Interoperability endpoints

  • Direct secure messaging: prajhans520688@direct.hfhs.org

Organizations & group practices 10

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

Hospital & facility affiliations 8

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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083815781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 CASS AVE",
            "address_2": "APT # 1003",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 ST ANTOINE ST",
            "address_2": "SUITE 9C",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48201",
            "telephone_number": "313-745-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJHANS",
        "first_name": "PRERANA",
        "middle_name": "NITIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301087894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.