Organization Active NPI

Amini Healthcare PLLC

  • Internal Medicine Physician
  • Brownstown TWP, MI
National Provider Identifier
1124430848
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301080497 Issued in MI
Legal business name
AMINI HEALTHCARE PLLC
Practice address
19727 Allen Rd
Suite 12
Brownstown TWP, MI 48183-1188
Phone
(734) 479-8000
Fax
(734) 479-4812
NPI assigned
May 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Authorized official

Name
Dr. Ladan Amini-Oroumi, DRNPI 1740252089
Title
President
Phone
(734) 479-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301080497 MI Primary

Addresses

Primary practice location

19727 Allen Rd
Suite 12
Brownstown TWP, MI 48183-1188

Mailing address

19727 Allen Rd
Suite 12
Brownstown TWP, MI 48183-1188
Phone (734) 479-8000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address april@rahmani.com Amini Healthcare PLLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140729001077 MI Part B Supplier - Clinic/Group Practice 4486870409 Receives reassigned benefits from 1 practitioner
Practice locations: Brownstown TWP, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2104792Amini Healthcare19727 Allen Rd Ste #11, Brownstown, MI 48183Certificate of waiverNov 11, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1124430848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19727 ALLEN RD",
            "address_2": "SUITE 12",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481831188",
            "telephone_number": "734-479-8000",
            "fax_number": "734-479-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19727 ALLEN RD",
            "address_2": "SUITE 12",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481831188",
            "telephone_number": "734-479-8000",
            "fax_number": "734-479-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMINI HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "AMINI-OROUMI",
        "authorized_official_first_name": "LADAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-479-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DR"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301080497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "april@rahmani.com",
            "affiliation": "Y",
            "affiliationName": "Amini Healthcare PLLC",
            "address_1": "19727 Allen Rd",
            "address_2": "Suite 12",
            "city": "Brownstown Twp",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481831188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brownstown TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.

Verify at the official NPI Registry.