Individual provider Active NPI

Richard K Nadjarian, M.D.

  • Pain Medicine Physician
  • Bloomfield Hills, MI
National Provider Identifier
1164440889
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
4301070388 Issued in MI
Practice address
36880 Woodward Ave
Suite 220
Bloomfield Hills, MI 48304-0919
Phone
(248) 594-7900
Fax
(248) 307-9578
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 4301070388 MI Primary

Addresses

Primary practice location

36880 Woodward Ave
Suite 220
Bloomfield Hills, MI 48304-0919

Mailing address

PO Box 2193
Birmingham, MI 48012-2193
Phone (248) 594-7900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041103000469 MI Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Physical Medicine and Rehabilitation 4284534850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology, Physical Medicine and Rehabilitation
Education
Wayne State University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

36880 Woodward Ave
Bloomfield Hills, MI 48304-0921
Phone (248) 594-7900

44633 Joy Rd
Suite 200
Canton, MI 48187-1732
Phone (734) 446-0337

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medicus Pain and Spine PLC Pain Medicine CurrentSince Jul 9, 2004 Accepting new patients

Locations

36880 Woodward Ave
Ste 220
Bloomfld Hls, MI 48304
Phone (248) 594-7900

44633 Joy Rd
Ste 200
Canton, MI 48187
Phone (734) 451-9692

Interoperability endpoints

  • Direct secure messaging: rnadjarian60890@direct.hfhs.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/JGDAAA/Endpoint/JGDAAA

Organizations & group practices 1

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1164440889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2193",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480122193",
            "telephone_number": "248-594-7900",
            "fax_number": "248-307-9578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36880 WOODWARD AVE",
            "address_2": "SUITE 220",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040919",
            "telephone_number": "248-594-7900",
            "fax_number": "248-307-9578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADJARIAN",
        "first_name": "RICHARD",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MI",
            "license": "4301070388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.