Active NPI
Zeena Mohammad Al-Rufaie, M.D.
- Pediatrics Physician
- Troy, MI
National Provider Identifier
1104042084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301095449
- Practice address
- 4967 Crooks Rd Ste 250
Troy, MI 48098-5809 - Phone
- (248) 654-6499
- Fax
- (248) 918-2609
- NPI assigned
- Apr 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 4301095449 | MI | Primary |
| Pediatric Obesity Medicine Physician | 2080B0002X | 4301095449 | MI |
Addresses
Primary practice location
4967 Crooks Rd Ste 250
Troy, MI 48098-5809
Mailing address
4967 Crooks Rd Ste 250
Troy, MI 48098-5809
Phone (248) 654-6499
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301095449 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shelby Pediatric Associates and Child Lung Center PC | Pediatrics | Past | Accepting new patients |
| Kidology Pediatrics PLLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/25404/brand/1/csg/1/fhir/r4
- zeena.al-rufaie@734921706504196.direct.elationemr.com
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Troy, MI
- NPI 1639837917
-
- Pediatrics Physician
- Shelby Township, MI
- NPI 1124051990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1104042084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4967 CROOKS RD STE 250",
"city": "TROY",
"state": "MI",
"postal_code": "480985809",
"telephone_number": "248-654-6499",
"fax_number": "248-918-2609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4967 CROOKS RD STE 250",
"city": "TROY",
"state": "MI",
"postal_code": "480985809",
"telephone_number": "248-654-6499",
"fax_number": "248-918-2609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL-RUFAIE",
"first_name": "ZEENA",
"middle_name": "MOHAMMAD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301095449",
"primary": true
},
{
"code": "2080B0002X",
"taxonomy_group": "",
"desc": "Pediatrics, Obesity Medicine",
"state": "MI",
"license": "4301095449",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.