Individual provider Active NPI

Zeena Mohammad Al-Rufaie, M.D.

  • Pediatrics Physician
  • Troy, MI
National Provider Identifier
1104042084
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301095449 Issued in MI
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

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
4301095449MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shelby Pediatric Associates and Child Lung Center PC Pediatrics Past Accepting new patients
Kidology Pediatrics PLLC Pediatrics Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25404/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.