Active NPI
Abdulrahman Alruwaily
- Urology Physician
- Ann Arbor, MI
National Provider Identifier
1154787604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 4301104014
- Practice address
- 1500 E Medical Center Dr
TC 3875 SPC 5330
Ann Arbor, MI 48109-5000 - Phone
- (734) 936-5801
- Fax
- (734) 936-9127
- NPI assigned
- Jan 13, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 4301104014 | MI | Primary |
Addresses
Primary practice location
1500 E Medical Center Dr
TC 3875 SPC 5330
Ann Arbor, MI 48109-5000
Mailing address
1500 E Medical Center Dr
TC 3875 SPC 5330
Ann Arbor, MI 48109-5000
Phone (734) 936-5801
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301104014 | MI | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452643200000",
"number": "1154787604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 E MEDICAL CENTER DR",
"address_2": "TC 3875 SPC 5330",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481095000",
"telephone_number": "734-936-5801",
"fax_number": "734-936-9127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E MEDICAL CENTER DR",
"address_2": "TC 3875 SPC 5330",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481095000",
"telephone_number": "734-936-5801",
"fax_number": "734-936-9127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALRUWAILY",
"first_name": "ABDULRAHMAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-13",
"last_updated": "2016-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MI",
"license": "4301104014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.